Wickford Optical, Llc

LBN: Wickford Optical, Llc
Wickford Optical, Llc is an health care organization with primary practice located at 7805 Post Rd , North Kingstown RI 02852-4405. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Wickford Optical, Llc can be contacted via phone (401) 294-1010, or through Coppolino, Domenic A via phone (401) 294-1010.

Contact Information

Primary practice address
7805 Post Rd North Kingstown RI 02852-4405
Phone: (401) 294-1010
Fax: (401) 295-2050
Website:
Map and Directions
Authorized official contact:
Name: Coppolino, Domenic A Doctor of Optometry (OD)
Phone: (401) 294-1010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X ODTG 00369 Rhode Island

Profile Details

NPI number 1295953768
LBN Legal business name Wickford Optical, Llc
DBA Doing business as
Authorized official Coppolino, Domenic A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Mar 2nd, 2010 - about 14 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 1295953768 NPPES
Rhode Island MEDICAID WO16877

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