Provider Demographics
NPI:1093712580
Name:BELHUMEUR, RICHARD P (OD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:P
Last Name:BELHUMEUR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 TOLL GATE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-0648
Mailing Address - Country:US
Mailing Address - Phone:401-822-2020
Mailing Address - Fax:401-823-5852
Practice Address - Street 1:1120 TOLL GATE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-0648
Practice Address - Country:US
Practice Address - Phone:401-822-2020
Practice Address - Fax:401-823-5852
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00498152W00000X
RIODTG000498152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI99246OtherBLUE CROSS/SHIELD
RI2784OtherNEIGHBORHOOD HEALTH
RI9009924Medicaid
RI22-00250OtherUNITED HEALTHCARE
RI999995218OtherVISION SERVICE PLANS
RI2784OtherNEIGHBORHOOD HEALTH
T53789Medicare UPIN
RI999995218OtherVISION SERVICE PLANS
RI99246OtherBLUE CROSS/SHIELD
RI9009924Medicaid
RI9009924Medicaid