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Organization

EASTERN VISION GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORMAANN GERALDINE SWENSON OD (OWNER)
(401) 353-3230
Entity
Organization

Contact information

Practice address
1388 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4649
(401) 353-3230
(401) 353-3236
Mailing address
1388 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4649
(401) 353-3230
(401) 353-3236

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OTDG00506
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2200239
UNITED HEALTH
RI
01
2877
NEIGHBORHOOD HEALTH
RI
01
79387
BLUE CROSSBLUE SHIELD
RI
01
872
DAVIS VISION
RI
Enumeration date
03/15/2007
Last updated
07/26/2013
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