Organization
EYE HEALTH VISION CENTER OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN F SULLIVAN M.D. (OWNER/ PHYSICIAN)
(508) 994-1400
Entity
Organization
Contact information
Practice address
73 VALLEY RD, MIDDLETOWN, RI 02842-5234
(401) 841-0966
(401) 841-0966
Mailing address
73 VALLEY RD, MIDDLETOWN, RI 02842-5234
(401) 841-0966
(401) 841-0966
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2490001
—
RI
Enumeration date
04/11/2006
Last updated
02/24/2009
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