Individual
DR. DAVID JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12 SMITH AVE, GREENVILLE, RI 02828-1767
(401) 949-1616
(401) 942-0952
Mailing address
19 CARONIA ST, CRANSTON, RI 02920-4333
(401) 450-5263
(401) 942-1783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4390
MA
152W00000X
Optometrist
Primary
ODTA00508
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700215
—
MA
01
—
4390
TPA OPTOMETRY LICENSE #
MA
01
—
469916
TUFTS PROVIDER #
MA
01
—
AA15972
HARVARD PILGRIM
MA
01
—
W16381
BCBS MA
MA
Enumeration date
06/13/2005
Last updated
10/15/2024
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