Healthcare Provider Details

I. General information

NPI: 1477298313
Provider Name (Legal Business Name): EVAN ROLAND HOSNEY OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 OLD RIVER RD
LINCOLN RI
02865-1161
US

IV. Provider business mailing address

132 OLD RIVER RD STE 201
LINCOLN RI
02865-1158
US

V. Phone/Fax

Practice location:
  • Phone: 401-721-5599
  • Fax:
Mailing address:
  • Phone: 401-721-5599
  • Fax: 401-721-5597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5538
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberODTG00727
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: