Organization
DR. DEGIULIO & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA DEGIULIO OD (OWNER)
(401) 474-4963
Entity
Organization
Contact information
Practice address
400 BALD HILL ROAD STE 163, WARWICK MALL, WARWICK, RI 02886
(401) 738-9866
Mailing address
13 CAPRI DR, JOHNSTON, RI 02919-3328
(401) 474-4963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9007169
—
RI
Enumeration date
10/31/2019
Last updated
12/02/2019
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