Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | ODTA00340 | RI |
NPI | 1003862962 |
---|---|
Provider Name | Joseph Louis Rowey |
First Address | Greenville, RI 02828-1720 |
Second Address | Woonsocket, RI 02895-3133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7001608 | (05) | RI |
T79284 | (02) |