Iannuccilli, Michael Raymond

Iannuccilli, Michael Raymond is an individual health care provider with primary practice located at 553 Kingstown Rd Optometric Providers Of Rhode Island, Inc, Wakefield RI 02879-3600. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Iannuccilli, Michael Raymond can be contacted via phone (401) 782-2100.

Contact Information

Primary practice address
553 Kingstown Rd Optometric Providers Of Rhode Island, Inc Wakefield RI 02879-3600
Phone: (401) 782-2100
Fax: (401) 848-7402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTA00323 Rhode Island

Profile Details

NPI number 1972554053
LBN Legal business name Iannuccilli, Michael Raymond
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Sep 4th, 2007 - about 18 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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