Cranston Eye Associates Inc.

LBN: Cranston Eye Associates Inc.
Cranston Eye Associates Inc. is an health care organization with primary practice located at 1013 Reservoir Ave , Cranston RI 02910-5134. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cranston Eye Associates Inc. can be contacted via phone (401) 942-4087, or through Surdut, Scott via phone 14019424087.

Contact Information

Primary practice address
1013 Reservoir Ave Cranston RI 02910-5134
Phone: (401) 942-4087
Fax: (401) 942-3342
Website:
Map and Directions
Authorized official contact:
Name: Surdut, Scott
Phone: 14019424087

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTA 00356 Rhode Island

Profile Details

NPI number 1487717708
LBN Legal business name Cranston Eye Associates Inc.
DBA Doing business as
Authorized official Surdut, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 19th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487717708 NPPES
Rhode Island Other 092470 MEDICARE P-TAN
Rhode Island MEDICAID 7002604 MEDICARE P-TAN

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