Burgess, Robert Leo

Burgess, Robert Leo is an individual health care provider with primary practice located at 15 Touro St , Newport RI 02840-2912. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Burgess, Robert Leo can be contacted via phone (401) 846-0101.

Contact Information

Primary practice address
15 Touro St Newport RI 02840-2912
Phone: (401) 846-0101
Fax: (401) 846-6161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X OP 00169 Rhode Island

Profile Details

NPI number 1972665818
LBN Legal business name Burgess, Robert Leo
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972665818 NPPES
Rhode Island Other 412086 BLUE CHIP
Rhode Island Other 0000029104-0 BLUE CHIP

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