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NPI Code Detail

MEDICARE: AMERICAN EYEGLASS CENTER INC

MEDICARE: AMERICAN EYEGLASS CENTER INC
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
1332H00000XEyewear Supplier137RI

Other Identifiers

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

General Provider Information

NPI Number : 1821163494
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN EYEGLASS CENTER INC
Provider Business Mailing Address
First Line : 1365 HARTFORD AVE
Second Line :
City : JOHNSTON
State : RI
Zip : 02919-7134
Country : US
Telephone Number : 401-521-0102
Fax Number :
Provider Business Practice Location Address
First Line : 1365 HARTFORD AVE
Second Line :
City : JOHNSTON
State : RI
Zip : 02919-7134
Country : US
Telephone Number : 401-521-0102
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. AURELIO QUAGLIERI
Credential :
Telephone Number : 401-521-0102
Provider Enumeration Date : 11/21/2006
Last Update Date : 08/22/2020

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Directions to “AMERICAN EYEGLASS CENTER INC ” Practice Location

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