Corvese, John S
Corvese, John S is an individual health care provider with primary practice located at 868 Reservoir Ave , Cranston RI 02910-4414. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Corvese, John S can be contacted via phone (401) 942-9933.Contact Information
Primary practice address
868 Reservoir Ave
Cranston RI 02910-4414
Phone: (401) 942-9933
Fax: (401) 270-2491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00517 | Rhode Island |
Profile Details
| NPI number | 1073613741 |
|---|---|
| LBN Legal business name | Corvese, John S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Dec 12th, 2023 - about last year |
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 | 1073613741 | NPPES |
| Rhode Island | MEDICAID | 9007909 | |
| Rhode Island | MEDICAID | 1073613741 |
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