Individual
DR. MICHAEL A BELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
1524 ATWOOD AVE, JOHNSTON, RI 02919-3228
(401) 272-2110
(401) 273-6236
Mailing address
1524 ATWOOD AVE, JOHNSTON, RI 02919-3228
(401) 272-2110
(401) 272-0388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00457
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004613
—
RI
Enumeration date
09/19/2005
Last updated
10/02/2009
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