Organization
PAUL A DECESARE O
Active
Other names
DeCesare Eye Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DECESARE (OPTOMETRIST)
(401) 331-4475
Entity
Organization
Contact information
Practice address
354 BROADWAY, PROVIDENCE, RI 02909-1434
(401) 331-4475
(401) 273-5742
Mailing address
354 BROADWAY, PROVIDENCE, RI 02909-1434
(401) 331-4475
(401) 273-5742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00322
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1705
NHP
RI
05
—
PC03311
—
RI
Enumeration date
02/26/2008
Last updated
12/23/2009
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