Stephen R Ide in Cranston - Optometrist

Stephen R Ide - NPI 1679508519

Stephen R Ide is a Optometrist in Cranston, Rhode Island. Stephen R Ide practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen R Ide is 1679508519. The last update date is 2007-09-04.

Stephen R Ide's current location address is 1400 Oaklawn Ave, Cranston, Rhode Island. You can contact this provider via phone number 4014636696 and fax number 4014635913. The mailing address for Stephen R Ide is 1400 Oaklawn Ave, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen R Ide
Address 1400 Oaklawn Ave, Cranston, Rhode Island
Phone Number 4014636696
Fax Number 4014635913
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1679508519
Provider Enumeration Date 2006-07-11
Last Updated Date 2007-09-04

Provider Mailing Address Detail

Address 1400 Oaklawn Ave
City Cranston
State Rhode Island (RI)
Post Code 29202643
Phone Number 4014636696
Fax Number 4014635913

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No ODTA00398
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

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FAQs about Stephen R Ide

What is the Stephen R Ide's unique identification number?

The Stephen R Ide has been assigned the NPI (National Provider Identifier) Number 1679508519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Stephen R Ide's facilities are situated?

The facilities of Stephen R Ide are physically located at the following address: 1400 Oaklawn Ave, Cranston, RI, 29202643.

What is Stephen R Ide's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen R Ide's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679508519 to Stephen R Ide?

The Stephen R Ide received its 1679508519 assignment from the Centers for Medicare & Medicaid Services on 2006-07-11.

When was the information pertaining to Stephen R Ide most recently updated or revised?

The details related to Stephen R Ide, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-04.

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