Healthcare Provider Details

I. General information

NPI: 1487855029
Provider Name (Legal Business Name): SHALMAR EYES N OPTICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 ATWOOD AVE STE 1
JOHNSTON RI
02919-7700
US

IV. Provider business mailing address

1450 ATWOOD AVE STE 1
JOHNSTON RI
02919-7700
US

V. Phone/Fax

Practice location:
  • Phone: 401-943-4330
  • Fax: 401-943-4331
Mailing address:
  • Phone: 401-943-4330
  • Fax: 401-943-4331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberOP00054
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number113
License Number StateRI

VIII. Authorized Official

Name: MARK J LIBASSI
Title or Position: V.P.
Credential: OPTICIAN
Phone: 401-943-4330