Liberto, Peter J

Liberto, Peter J is an individual health care provider with primary practice located at 145 Newport Ave , Pawtucket RI 02861-4107. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Liberto, Peter J can be contacted via phone (401) 729-0200.

Contact Information

Primary practice address
145 Newport Ave Pawtucket RI 02861-4107
Phone: (401) 729-0200
Fax: (401) 729-0222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 434T Rhode Island

Profile Details

NPI number 1396730453
LBN Legal business name Liberto, Peter J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396730453 NPPES
Rhode Island Other 22-00053 UNITEDHEALTHCARE
Rhode Island Other 2804 UNITEDHEALTHCARE
Rhode Island Other 7848-3 UNITEDHEALTHCARE
Rhode Island MEDICAID 9007948 UNITEDHEALTHCARE
Rhode Island Other 004369 UNITEDHEALTHCARE

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