Healthcare Provider Details

I. General information

NPI: 1700227840
Provider Name (Legal Business Name): BENJAMIN PETER RICE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

566 TOLL GATE RD
WARWICK RI
02886-2716
US

IV. Provider business mailing address

125 PROVIDENCE ST UNIT N106
WEST WARWICK RI
02893-2539
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-4800
  • Fax:
Mailing address:
  • Phone: 336-926-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberUO3527
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberDO00849
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: