MEDICARE: DR. STEVEN A CROCE I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	00DGT00473	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285661025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN A CROCE I

Provider Business Mailing Address
First Line	:	622 GEORGE WASHINGTON HWY
Second Line	:
City	:	LINCOLN
State	:	RI
Zip	:	02865-4211
Country	:	US
Telephone Number	:	401-333-0550
Fax Number	:	401-312-0083

Provider Business Practice Location Address
First Line	:	622 GEORGE WASHINGTON HWY
Second Line	:
City	:	LINCOLN
State	:	RI
Zip	:	02865-4211
Country	:	US
Telephone Number	:	401-333-0550
Fax Number	:	401-312-0083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. STEVEN A CROCE I ” Practice Location

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