Organization
SHADES LLC
Active
Other names
SHADES-Pier Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE MAXWELL LICENSED OPTICIAN (MANAGING OPTICIAN)
(401) 284-4591
Entity
Organization
Contact information
Practice address
40A PIER MARKET PL, NARRAGANSETT, RI 02882-3389
(401) 284-4591
Mailing address
40A PIER MARKET PL, NARRAGANSETT, RI 02882-3389
(401) 284-4591
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
03/14/2024
Last updated
03/26/2024
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