Healthcare Provider Details

I. General information

NPI: 1508033853
Provider Name (Legal Business Name): BLING EYEWEAR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CHAPEL VIEW BLVD STE 220
CRANSTON RI
02920-3091
US

IV. Provider business mailing address

2000 CHAPEL VIEW BLVD STE 220
CRANSTON RI
02920-3091
US

V. Phone/Fax

Practice location:
  • Phone: 401-943-4700
  • Fax: 401-943-4707
Mailing address:
  • Phone: 401-943-4700
  • Fax: 401-943-4707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License NumberRI0264
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JAMES A HANSON
Title or Position: OPERATING MANAGER
Credential:
Phone: 401-943-4700