Organization
I FOR AN EYE, LLC
Active
Other names
Envisions Eyecare, DeCesare Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA OLIVEIRA (OPTOMETRIST)
(508) 837-3708
Entity
Organization
Contact information
Practice address
354 BROADWAY, PROVIDENCE, RI 02909-1434
(401) 331-4475
(401) 273-5742
Mailing address
363 HAWKINS ST, PROVIDENCE, RI 02904-2306
(508) 837-3708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00650
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538685938
—
RI
01
—
U300416104
MEDICARE
—
Enumeration date
10/17/2017
Last updated
10/20/2021
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