Provider Demographics
NPI:1679875900
Name:EYE STOP, INC.
Entity Type:Organization
Organization Name:EYE STOP, INC.
Other - Org Name:PUGLIESE FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PUGLIESE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:401-349-4791
Mailing Address - Street 1:41 SANDERSON RD
Mailing Address - Street 2:203
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2602
Mailing Address - Country:US
Mailing Address - Phone:401-349-4791
Mailing Address - Fax:401-349-4795
Practice Address - Street 1:41 SANDERSON RD
Practice Address - Street 2:203
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-2602
Practice Address - Country:US
Practice Address - Phone:401-349-4791
Practice Address - Fax:401-349-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-18
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00474152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty