Individual
DR. WILLIAM W ST VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
375 METACOM AVE, BRISTOL, RI 02809-5179
(401) 253-2020
(401) 253-3220
Mailing address
60 AARON AVE, BRISTOL, RI 02809-1548
(401) 253-4199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00466
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002697
—
RI
Enumeration date
08/20/2006
Last updated
10/31/2011
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