Provider Demographics
NPI:1407099690
Name:MARIA FLORIO JABLONSKI, O.D., LLC
Entity Type:Organization
Organization Name:MARIA FLORIO JABLONSKI, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:JABLONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:401-943-4770
Mailing Address - Street 1:110 ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4130
Mailing Address - Country:US
Mailing Address - Phone:401-943-4770
Mailing Address - Fax:401-490-0909
Practice Address - Street 1:110 ATWOOD AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4130
Practice Address - Country:US
Practice Address - Phone:401-943-4770
Practice Address - Fax:401-490-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-17
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTA0480152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty