Organization
THE EYEGLASS STORE INC
Active
Other names
Family Eye Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN D KAPLAN OD (OPTOMETRIST)
(401) 723-9540
Entity
Organization
Contact information
Practice address
2 DEXTER ST, PAWTUCKET, RI 02860-2991
(401) 723-9540
(401) 725-6583
Mailing address
2 DEXTER ST, PAWTUCKET, RI 02860-2991
(401) 723-9540
(401) 725-6583
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00494
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7959-2
BLUE CROSS
RI
05
—
FE00663
—
RI
Enumeration date
02/09/2007
Last updated
04/17/2008
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