Organization
SEACOAST EYE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY M WEPMAN MD (VICE PRESIDENT)
(401) 783-7009
Entity
Organization
Contact information
Practice address
70 KENYON AVE, SUITE 211, WAKEFIELD, RI 02879-4239
(401) 783-7009
(401) 789-3909
Mailing address
70 KENYON AVE, SUITE 211, WAKEFIELD, RI 02879-4239
(401) 783-7009
(401) 789-3909
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD05238
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21191-8
BLUE CROSS RHODE ISLAND
RI
05
—
SE32280
—
RI
Enumeration date
02/15/2007
Last updated
04/20/2008
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