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Organization

PROVIDENCE EYE ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS PAUL CESARO O.D. (VICE PRESIDENT)
(401) 351-5664
Entity
Organization

Contact information

Practice address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 351-5664
(401) 456-5726
Mailing address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 351-5664
(401) 456-5726

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9007882
RI
Enumeration date
12/07/2006
Last updated
07/06/2010
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