Individual
DR. JAMES P THEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
166 CASS AVE, WOONSOCKET, RI 02895-4712
(401) 769-2511
(401) 769-7696
Mailing address
166 CASS AVE UNIT 1, WOONSOCKET, RI 02895-4712
(401) 769-2511
(401) 769-7696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00410
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000260
—
RI
Enumeration date
06/24/2006
Last updated
09/21/2022
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