Individual provider · NPI-1
Jeffrey David Ainley, O.D.
Optometrist · Warwick, RI
NPI number1376519637
StatusActive
Last updated in NPPESDec 12, 2016
Details
- NPI
- 1376519637
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey David Ainley
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2006
- Last updated
- Dec 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | ODTG00536 | RI | Yes |
Practice location
1050 Centerville RdWarwick, RI 02886-4209
Phone 401-828-3200
Mailing address
1050 Centerville RdWarwick, RI 02886-4209
Phone 401-828-3200
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