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NPI Code Detail

MEDICARE: CUMBERLAND HILL EYE CARE LLC

MEDICARE: CUMBERLAND HILL EYE CARE LLC
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
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487398087
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMBERLAND HILL EYE CARE LLC
Provider Business Mailing Address
First Line : 30 BENEDICT RD
Second Line :
City : WARWICK
State : RI
Zip : 02888-2802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2180 MENDON RD STE 21
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3825
Country : US
Telephone Number : 401-333-0090
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. STEPHANIE STURGIS
Credential : OD
Telephone Number : 860-836-3459
Provider Enumeration Date : 04/21/2022
Last Update Date : 04/21/2022

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Directions to “CUMBERLAND HILL EYE CARE LLC ” Practice Location

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