MEDICARE: ARTHUR J CORVESE OPTOMETRIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	ODTG00472	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700871449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR J CORVESE OPTOMETRIST

Provider Business Mailing Address
First Line	:	1524 ATWOOD AVE STE 240
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3228
Country	:	US
Telephone Number	:	401-272-2110
Fax Number	:	401-369-7255

Provider Business Practice Location Address
First Line	:	1524 ATWOOD AVE 240
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3228
Country	:	US
Telephone Number	:	401-351-6100
Fax Number	:	401-369-7255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	02/07/2025

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