Individual
KRITI BHAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
245 WATERMAN ST STE 309, PROVIDENCE, RI 02906-5215
(401) 227-2188
(401) 227-2183
Mailing address
245 WATERMAN ST STE 309, PROVIDENCE, RI 02906-5215
(401) 227-2188
(401) 227-2183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODTG00656
RI
152W00000X
Optometrist
Primary
OEG002945
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357858
MEDICARE PTAN
PA
Enumeration date
07/09/2014
Last updated
08/09/2022
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