Individual
MR. JOHN SPAZIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1168 WARWICK AVE, WARWICK, RI 02888-4106
(401) 463-7100
Mailing address
1168 WARWICK AVE, WARWICK, RI 02888-4106
(401) 463-7100
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
176
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9007964
—
RI
Enumeration date
10/12/2015
Last updated
10/12/2015
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