Individual
DR. SCOTT H. SURDUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1013 RESERVOIR AVE, CRANSTON, RI 02910-5134
(401) 942-4087
Mailing address
1013 RESERVOIR AVE, CRANSTON, RI 02910-5134
(401) 942-4087
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA 00356
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050381140
TAX #
RI
Enumeration date
10/27/2006
Last updated
05/02/2008
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