Organization
RHODE EYELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE A BOISVERT OD (OWNER)
(401) 262-0042
Entity
Organization
Contact information
Practice address
74 FRENCHTOWN RD, NORTH KINGSTOWN, RI 02852-1758
(401) 262-0042
Mailing address
74 FRENCHTOWN RD, NORTH KINGSTOWN, RI 02852-1758
(401) 886-4349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00519
RI
Other
Enumeration date
09/04/2014
Last updated
03/15/2017
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