NPI Code Details Logo

NPI 1225653173

NPI 1225653173 : BRYANNA MORGAN CARON OD : NORTH SMITHFIELD, RI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225653173
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRYANNA MORGAN CARON OD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/16/2020
-----------------------------------------------------
    Last Update Date     |    02/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    621 POUND HILL RD STE 104 
-----------------------------------------------------
    City                 |    NORTH SMITHFIELD
-----------------------------------------------------
    State                |    RI
-----------------------------------------------------
    Zip                  |    02896-9358
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    401-769-6323
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    56 WHIPPLE RD 
-----------------------------------------------------
    City                 |    SMITHFIELD
-----------------------------------------------------
    State                |    RI
-----------------------------------------------------
    Zip                  |    02917-2513
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    401-744-2452
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    ODTG00695
-----------------------------------------------------
    License Number State |    RI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.