Organization
VICTORIAN EYE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELENE MARIE BRADLEY O.D. (OPTOMETRIST)
(401) 828-4838
Entity
Organization
Contact information
Practice address
215 LEGRIS AVE, WEST WARWICK, RI 02893-2937
(401) 828-4838
Mailing address
215 LEGRIS AVE, WEST WARWICK, RI 02893-2937
(401) 828-4838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA00411
RI
152W00000X
Optometrist
ODTG00544
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700986478
—
RI
05
—
1992033831
—
RI
Enumeration date
05/17/2010
Last updated
10/28/2011
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