Individual
PAMELA J BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1120 TOLLGATE ROAD, SUITE C, WARWICK, RI 02886
(401) 822-2020
(401) 823-5852
Mailing address
1120 TOLL GATE RD, SUITE C, WARWICK, RI 02886-0648
(401) 822-2020
(401) 823-5852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA00417
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129360001
MEDCIARE DME
RI
01
—
203400
BLUE CHIP
RI
01
—
2816
NEIGHBORHOOD HEALTH
RI
05
—
9007934
—
RI
01
—
9924-6
BLUE CROSS/SHIELD
RI
01
—
999995218
VISION SERVICE PLANS
RI
Enumeration date
06/30/2005
Last updated
04/15/2025
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