Organization
UNIVERSITY OPTOMETRIST SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN OSHEA MICHAEL OD (OPTOMETRIST OWNER)
(401) 874-4063
Entity
Organization
Contact information
Practice address
50 LOWER COLLEGE RD, KINGSTON, RI 02881
(401) 874-4063
(401) 874-7559
Mailing address
50 LOWER COLLEGE RD, KINGSTON, RI 02881
(401) 874-4063
(401) 874-7559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT453
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
419002976
MEDICARE PTAN
RI
Enumeration date
07/01/2008
Last updated
07/01/2008
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