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Organization

MODERN EYES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENZO L GIANFRANCESCO OD (OPTOMETRIST)
(401) 729-0200
Entity
Organization

Contact information

Practice address
145 NEWPORT AVE, PAWTUCKET, RI 02861
(401) 524-4025
Mailing address
145 NEWPORT AVE, PAWTUCKET, RI 02861-4107
(401) 729-0200
(401) 729-0222

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00620
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447633060
RI
Enumeration date
04/01/2018
Last updated
08/23/2018
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