Organization
NEWPORT OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAFA F WAGDI MD (PRESIDENT)
(401) 723-0083
Entity
Organization
Contact information
Practice address
1002 BROAD ST, SUITE 7, CENTRAL FALLS, RI 02863-1500
(401) 723-0083
(401) 722-4950
Mailing address
1002 BROAD ST, SUITE 7, CENTRAL FALLS, RI 02863-1500
(401) 723-0083
(401) 722-4950
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
RI 93
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
295628
ID BLUE CROSS&BLUE SHIELD
RI
01
—
409033
ID BLUE CHIP OF RI
RI
05
—
NO 00725
—
RI
01
—
ZBH770
BLUE CROSS&BLUE SHIELD
MA
Enumeration date
05/09/2007
Last updated
08/22/2020
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