Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | RI 0327 | RI |
NPI | 1134308315 |
---|---|
Provider Name | Mr. Eric A Sears |
First Address | Seekonk, MA 02771-0254 |
Second Address | Warwick, RI 02889-4721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 24/10/2007 |