Southern New England Retina Associates, Pc in Providence - Ophthalmology
Southern New England Retina Associates, Pc - NPI 1548228794
Southern New England Retina Associates, Pc is a Ophthalmology in Providence, Rhode Island. Southern New England Retina Associates, Pc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Southern New England Retina Associates, Pc is 1548228794. The last update date is 2011-07-20.
Southern New England Retina Associates, Pc's current location address is 1 Randall Sq, Providence, Rhode Island. You can contact this provider via phone number 4014534600 and fax number 4014530077. The mailing address for Southern New England Retina Associates, Pc is 1 Randall Sq, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern New England Retina Associates, Pc |
|---|---|
| Address | 1 Randall Sq, Providence, Rhode Island |
| Phone Number | 4014534600 |
| Fax Number | 4014530077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Krzystolik G Magdalena |
| Credentials | M.D. |
| Telephone Number | 4014534600 |
NPI Number Detail
| NPI Number | 1548228794 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2011-07-20 |
Provider Mailing Address Detail
| Address | 1 Randall Sq |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29042709 |
| Phone Number | 4014534600 |
| Fax Number | 4014530077 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9004676 | RI | -- | |
| 9762591 | MA | -- | |
| M19151 | MA | BCBS | |
| 624129 | RI | TUFTS HEALTH CARE | |
| 7246790 | RI | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southern New England Retina Associates, Pc by the Centers for Medicare & Medicaid Services?
The Southern New England Retina Associates, Pc has been issued the NPI (National Provider Identifier) 1548228794 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Southern New England Retina Associates, Pc is located?
The Southern New England Retina Associates, Pc is situated at the following address: 1 Randall Sq, Providence, RI, 29042709.
What is Southern New England Retina Associates, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southern New England Retina Associates, Pc is Ophthalmology, and the taxonomy code that classifies this field of practice is 207W00000X.
On what date was the 1548228794 assigned to Southern New England Retina Associates, Pc?
The Southern New England Retina Associates, Pc was issued its 1548228794 on 2006-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Southern New England Retina Associates, Pc most recently updated or revised?
The details related to Southern New England Retina Associates, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2011-07-20.