Provider Demographics
NPI:1134308315
Name:SEARS, ERIC A (RDO)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:A
Last Name:SEARS
Suffix:
Gender:M
Credentials:RDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 254
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-0254
Mailing Address - Country:US
Mailing Address - Phone:401-450-2343
Mailing Address - Fax:
Practice Address - Street 1:15 WENTWORTH AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-4721
Practice Address - Country:US
Practice Address - Phone:401-450-2343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 0327156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician