Organization
WATERMAN EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT D. WATERMAN O.D. (OWNER)
(401) 295-7339
Entity
Organization
Contact information
Practice address
426 SCRABBLETOWN RD, SUITE A, NORTH KINGSTOWN, RI 02852-3649
(401) 295-7339
(401) 295-7311
Mailing address
426 SCRABBLETOWN RD, SUITE A, NORTH KINGSTOWN, RI 02852-3649
(401) 295-7339
(401) 295-7311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG-397
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003167
BLUE CHIP
RI
01
—
021362703
VISION SERVICE PLAN
RI
01
—
2200506
UNITED HEALTHCARE
RI
01
—
27923-5
BLUE CROSS BLUE SHIELD
RI
05
—
9003840
—
RI
Enumeration date
02/27/2007
Last updated
08/07/2012
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