Individual
DR. CARL D CORROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
780 NORTH MAIN ST., PROVIDENCE, RI 02904-5707
(401) 331-2020
(401) 331-1179
Mailing address
780 NORTH MAIN ST., PROVIDENCE, RI 02904-5707
(401) 331-2020
(401) 331-1179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00509
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7057197
—
RI
Enumeration date
08/01/2006
Last updated
12/16/2009
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