Individual
DR. A. ROBERT CHILD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1150 RESERVOIR AVE, LL5, CRANSTON, RI 02920-6068
(401) 943-8151
(401) 943-1324
Mailing address
1150 RESERVOIR AVE, LL5, CRANSTON, RI 02920-6068
(401) 943-8151
(401) 943-1324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00510
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295856540
ORGANIZATION NPI
RI
05
—
9003250
—
RI
05
—
GC00269
—
RI
Enumeration date
01/04/2007
Last updated
10/14/2009
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