Dichiara Pastore, Louise M

Dichiara Pastore, Louise M is an individual health care provider with primary practice located at 1150 Reservoir Ave Ste Ll5, Cranston RI 02920-6068. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dichiara Pastore, Louise M can be contacted via phone (401) 943-8151.

Contact Information

Primary practice address
1150 Reservoir Ave Ste Ll5 Cranston RI 02920-6068
Fax: (401) 943-1324
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00462 Rhode Island

Profile Details

NPI number 1235205485
LBN Legal business name Dichiara Pastore, Louise M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Sep 6th, 2013 - about 11 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 1235205485 NPPES
Rhode Island Other 1295856540 ORGANIZATION/GROUP NPI
Rhode Island MEDICAID GC00269 ORGANIZATION/GROUP NPI
Rhode Island MEDICAID 9007935 ORGANIZATION/GROUP NPI

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