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General NPI Number Information
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NPI Number | 1700991932
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Entity Type | Organization
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Legal Business Name | 20/20 VISION CARE, INC.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 375 METACOM AVE
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City | BRISTOL
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State | RI
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Zip | 02809-5179
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Country | US
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Telephone | 401-253-2020
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Fax | 401-253-3220
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Provider Business Mailing Address
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Address Line | 375 METACOM AVE
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City | BRISTOL
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State | RI
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Zip | 02809-5179
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Country | US
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Telephone | 401-253-2020
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Fax | 401-253-3220
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM W ST VINCENT
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Credential | OD
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Telephone | 401-253-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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