Healthcare Provider Details

I. General information

NPI: 1437367141
Provider Name (Legal Business Name): RICHARD P. BELHUMEUR, OD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 TOLL GATE RD SUITE C
WARWICK RI
02886-0648
US

IV. Provider business mailing address

1120 TOLL GATE RD SUITE C
WARWICK RI
02886-0648
US

V. Phone/Fax

Practice location:
  • Phone: 401-822-2020
  • Fax: 401-823-5852
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: JIM CROSS
Title or Position: OFFICE MANAGER
Credential:
Phone: 401-822-2020