Individual
KELLY M PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
450 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02914-5300
(401) 431-1119
(401) 431-1125
Mailing address
450 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02914-5300
(401) 431-1119
(401) 943-1324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00643
RI
Other
Enumeration date
07/11/2017
Last updated
01/17/2019
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