Individual
SHAWN BARILLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
891 WESTMINSTER ST, PROVIDENCE, RI 02903-4020
(401) 688-2301
(401) 274-4739
Mailing address
891 WESTMINSTER ST, PROVIDENCE, RI 02903-4020
(401) 688-2301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618003496
VA
152W00000X
Optometrist
Primary
ODTG00776
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2024
Last updated
10/14/2025
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