Provider Demographics
NPI:1518952258
Name:OPHTHALMIC SURGEONS, LTD
Entity Type:Organization
Organization Name:OPHTHALMIC SURGEONS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDREONI
Authorized Official - Suffix:
Authorized Official - Credentials:OPHTHALMOLOGIST
Authorized Official - Phone:401-272-2110
Mailing Address - Street 1:1524 ATWOOD AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3228
Mailing Address - Country:US
Mailing Address - Phone:401-272-2110
Mailing Address - Fax:401-272-0388
Practice Address - Street 1:1524 ATWOOD AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3228
Practice Address - Country:US
Practice Address - Phone:401-272-2110
Practice Address - Fax:401-272-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0931460001Medicare NSC
RI189002583Medicare PIN