Healthcare Provider Details

I. General information

NPI: 1861565913
Provider Name (Legal Business Name): CHARLES C CALENDA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 TOLL GATE RD
WARWICK RI
02886-4317
US

IV. Provider business mailing address

404 TOLL GATE RD
WARWICK RI
02886-4317
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-2200
  • Fax: 401-739-8841
Mailing address:
  • Phone: 401-737-2200
  • Fax: 401-739-8841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0605
License Number StateRI

VIII. Authorized Official

Name: DR. CHARLES CARL CALENDA
Title or Position: PRESIDENT
Credential: MD
Phone: 401-737-2200