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Individual

DR. SCOTT ROBERT HACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
400 BALD HILL RD STE 163, WARWICK, RI 02886-1682
(401) 738-9866
Mailing address
33 POPPY PL, WARWICK, RI 02886-9127
(262) 909-2178

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00692
RI

Other

Enumeration date
07/08/2019
Last updated
02/22/2024
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