Beaudet, Roger
Beaudet, Roger is an sole proprietor health care provider with primary practice located at 501 Great Rd Ste 107 , North Smithfield RI 02896-6833. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beaudet, Roger can be contacted via phone (401) 769-6252.Contact Information
Primary practice address
501 Great Rd Ste 107
North Smithfield RI 02896-6833
Phone: (401) 769-6252
Fax: (401) 769-2460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 333TA | Rhode Island |
Profile Details
| NPI number | 1295831196 |
|---|---|
| LBN Legal business name | Beaudet, Roger |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | May 12th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295831196 | NPPES |
| Rhode Island | MEDICAID | 9009721 |
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