Healthcare Provider Details

I. General information

NPI: 1144846478
Provider Name (Legal Business Name): BRETT ZERBINOPOULOS OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 TOLL GATE RD STE 107
WARWICK RI
02886-4326
US

IV. Provider business mailing address

22 CARRIE LN
NORTH KINGSTOWN RI
02852-4138
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-2662
  • Fax:
Mailing address:
  • Phone: 401-295-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberODTG00698
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: