Organization
FAMILY EYE HEALTH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTIAN SELLECHIO O.D. (MANAGER)
(401) 921-0098
Entity
Organization
Contact information
Practice address
2374 POST RD STE 104, WARWICK, RI 02886-2270
(401) 921-0098
(401) 921-0073
Mailing address
2374 POST RD STE 104, WARWICK, RI 02886-2270
(401) 921-0098
(401) 921-0073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00512
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294180
BLUE CROSS BLUE SHIELD OF RHODE ISLAND
RI
01
—
410486
BLUE CHIP OF RHODE ISLAND
RI
05
—
9004075
—
RI
Enumeration date
08/13/2008
Last updated
08/13/2008
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