Organization
COASTAL EYE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MISTO O.D. (OWNER)
(401) 348-2020
Entity
Organization
Contact information
Practice address
17 WELLS ST, STE 101, WESTERLY, RI 02891-2923
(401) 348-2020
(401) 596-9348
Mailing address
17 WELLS ST, STE 101, WESTERLY, RI 02891-2923
(401) 348-2020
(401) 596-9348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CE00626
—
RI
Enumeration date
11/01/2006
Last updated
09/10/2024
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