Organization
THE EYEWEAR BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAROUN A KOMARI R.D.O (PRESIDENT)
(401) 336-3937
Entity
Organization
Contact information
Practice address
1265 RESERVOIR AVE, CRANSTON, RI 02920
(401) 336-3937
(401) 336-3939
Mailing address
1265 RESERVOIR AVE, CRANSTON, RI 02920-6060
(401) 336-3937
(401) 336-3939
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OP00334
RI
Other
Enumeration date
11/27/2009
Last updated
11/29/2012
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