Provider Demographics
NPI:1760528962
Name:OPHTHALMOLOGY INC
Entity Type:Organization
Organization Name:OPHTHALMOLOGY INC
Other - Org Name:THE RHODE ISLAND EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:P
Authorized Official - Last Name:DUELL
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:401-272-2020
Mailing Address - Street 1:235 HANOVER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5246
Mailing Address - Country:US
Mailing Address - Phone:508-679-0150
Mailing Address - Fax:508-324-9085
Practice Address - Street 1:150 E MANNING ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5109
Practice Address - Country:US
Practice Address - Phone:401-272-2020
Practice Address - Fax:401-421-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0012176OtherNEIGHBORHOOD MA
MA613531OtherTUFTS
MA9782486Medicaid
MAM17024OtherMASS BLUE SHIELD
RI42363OtherRI BLUE SHIELD
RI9001520Medicaid
MAM20287Medicare PIN
MA0012176OtherNEIGHBORHOOD MA