Organization
CLYDE E HAWORTH JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE E HAWORTH JR. O.D. (OWNER)
(401) 333-0090
Entity
Organization
Contact information
Practice address
2190 MENDON ROAD, CUMBERLAND, RI 02864-3805
(401) 333-0090
(401) 333-0490
Mailing address
2190 MENDON RD, CUMBERLAND, RI 02864-3805
(401) 333-0090
(401) 333-0490
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
ODTG495
RI
Other
Enumeration date
02/06/2008
Last updated
01/20/2012
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