Provider Demographics
NPI:1609199520
Name:HANSON, CESARINA CONCEICAO (RO)
Entity Type:Individual
Prefix:MS
First Name:CESARINA
Middle Name:CONCEICAO
Last Name:HANSON
Suffix:
Gender:F
Credentials:RO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:401-943-4700
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:401-943-4700
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOP00292156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician