Individual
DR. RUSSELL AUCLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
780 N MAIN ST, PROVIDENCE, RI 02904-5706
(401) 331-1108
(401) 331-1179
Mailing address
780 N MAIN ST, PROVIDENCE, RI 02904-5706
(401) 331-1108
(401) 331-1179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG 00507
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9009874
—
RI
Enumeration date
07/06/2006
Last updated
10/01/2008
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