Organization · NPI-2

In-Sight

Optometrist · Warwick, RI

NPI number1720130545
StatusActive
Last updated in NPPESJul 30, 2013

Details

NPI
1720130545
Entity type
Organization (NPI-2)
Legal business name
In-Sight
Organization subpart
No
Enumeration date
Jan 18, 2007
Last updated
Jul 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes
152WL0500X Optometrist, Low Vision Rehabilitation––
163WD0400X Registered Nurse, Diabetes Educator––
252Y00000X Early Intervention Provider Agency––

Practice location

43 Jefferson Blvd
Warwick, RI 02888-1078

Phone 401-941-3322

Mailing address

43 Jefferson Blvd
Suite 1
Warwick, RI 02888-1078

Phone 401-941-3322 · Fax 401-941-3356

Authorized official

Christopher Butler
Exec Director
4019413322

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