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Individual

DR. DOMINIQE GISELLE VIENNEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
400 WARREN AVE, EAST PROVIDENCE, RI 02914-3807
(401) 438-4447
(401) 438-0160
Mailing address
400 WARREN AVE, EAST PROVIDENCE, RI 02914-3807
(401) 438-4447
(401) 438-0160

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00543
RI
152WC0802X
Corneal and Contact Management Optometrist
ODTG00543
RI
152WL0500X
Low Vision Rehabilitation Optometrist
ODTG00543
RI
152WP0200X
Pediatric Optometrist
ODTG00543
RI
152WS0006X
Sports Vision Optometrist
ODTG00543
RI
152WV0400X
Vision Therapy Optometrist
ODTG00543
RI
152WX0102X
Occupational Vision Optometrist
ODTG00543
RI

Other

Enumeration date
11/09/2009
Last updated
11/09/2009
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