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Organization

OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL R IANNUCCILLI OD (PRESIDENT)
(401) 782-2100
Entity
Organization

Contact information

Practice address
1400 OAKLAWN AVE, MARSHALLS SHOPPING CENTER, CRANSTON, RI 02920-2643
(401) 463-6696
(401) 463-5913
Mailing address
2921 ERIE BLVD E, C/O EMPIRE VISION CENTER, INC, SYRACUSE, NY 13224-1430
(315) 445-6475
(315) 445-7675

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
08/30/2007
Last updated
08/30/2007
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