Individual
DR. ROGER BEAUDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
501 GREAT RD STE 107, NORTH SMITHFIELD, RI 02896-6833
(401) 769-6252
(401) 769-2460
Mailing address
501 GREAT RD STE 107, NORTH SMITHFIELD, RI 02896-6833
(401) 769-6252
(401) 769-2460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
333TA
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9009721
—
RI
Enumeration date
09/16/2006
Last updated
05/12/2008
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