MEDICARE: OPHTHALMIC SURGEONS, LTD

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	174400000X	Specialist

General Provider Information

NPI Number	:	1518952258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPHTHALMIC SURGEONS, LTD

Provider Business Mailing Address
First Line	:	1524 ATWOOD AVE
Second Line	:	SUITE 240
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3228
Country	:	US
Telephone Number	:	401-272-2110
Fax Number	:	401-272-0388

Provider Business Practice Location Address
First Line	:	1524 ATWOOD AVE
Second Line	:	SUITE 240
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3228
Country	:	US
Telephone Number	:	401-272-2110
Fax Number	:	401-272-0388

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. WILLIAM J ANDREONI
Credential	:	OPHTHALMOLOGIST
Telephone Number	:	401-272-2110

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	01/14/2025

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