Provider Demographics
NPI:1508033853
Name:BLING EYEWEAR, LLC
Entity Type:Organization
Organization Name:BLING EYEWEAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-943-4700
Mailing Address - Street 1:2000 CHAPEL VIEW BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-3091
Mailing Address - Country:US
Mailing Address - Phone:401-943-4700
Mailing Address - Fax:401-943-4707
Practice Address - Street 1:2000 CHAPEL VIEW BLVD STE 220
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-3091
Practice Address - Country:US
Practice Address - Phone:401-943-4700
Practice Address - Fax:401-943-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X, 156FX1800X, 332H00000X
RIRI0264332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICH84604Medicaid
RISH08026Medicaid
RIBL71898Medicaid