De Cesare, Paul A

De Cesare, Paul A is an sole proprietor health care provider with primary practice located at 354 Broadway , Providence RI 02909. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. De Cesare, Paul A can be contacted via phone (401) 331-4475.

Contact Information

Primary practice address
354 Broadway Providence RI 02909
Phone: (401) 331-4475
Fax: (401) 273-5742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTA00322 Rhode Island

Profile Details

NPI number 1205826997
LBN Legal business name De Cesare, Paul A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Jan 29th, 2010 - about 14 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 1205826997 NPPES
Rhode Island MEDICAID PC03311

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