Individual
MR. CURTIS RAY PONDER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RO,ABOC
Contact information
Practice address
200 TOLL GATE RD, WARWICK, RI 02886-4440
(401) 737-2020
Mailing address
12 WILLOW RD, CRANSTON, RI 02920-2626
(401) 737-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP308
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-01254
UNITED HEALTH
RI
01
—
27367-1
BLUE CROSS
RI
01
—
29681
NEIGHBORHOOD HEALTH
RI
01
—
411619
BLUE CHIP
RI
05
—
CP54036
—
RI
Enumeration date
10/03/2006
Last updated
04/07/2021
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