Dr. Michael R Iannuccilli, OD
Optometrist in Wakefield, Rhode Island
1972554053- Practice location
- 553 Kingstown RD, Optometric Providers Of Rhode Island, INC, Wakefield, RI 02879-3600
- Phone
- 401-782-2100
- Fax
- 401-848-7402
- Last updated
- September 4, 2007
Michael Raymond Iannuccilli is an Optometrist based in Wakefield, RI. Michael Raymond Iannuccilli practices in Wakefield, RI and has the professional credentials of OD. The NPI Number for Michael Raymond Iannuccilli is 1972554053 and holds a License No. ODTA00323 (RI). The current practice location address for Michael Raymond Iannuccilli is 553 Kingstown RD, Optometric Providers Of Rhode Island, INC, Wakefield, RI 02879-3600 and can be reached out via phone at 401-782-2100 and via fax at 401-848-7402.
Provider Profile Details
- NPI Number
- 1972554053
- Provider Name
- Michael Raymond Iannuccilli
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 553 Kingstown RD, Optometric Providers Of Rhode Island, INC, Wakefield, RI 02879-3600
- Phone Number
- 401-782-2100
- Fax Number
- 401-848-7402
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2006
- Last Update Date
- September 4, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 553 Kingstown RD
Optometric Providers Of Rhode Island, INC
Wakefield, RI 02879-3600 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-3600
- Phone Number
- 401-782-2100
- Fax Number
- 401-848-7402
Provider Business Mailing Address Details
- Address
- 2921 Erie Blvd East
Syracuse, NY 13224 - City
- Syracuse
- State
- NY
- Zip
- 13224
- Phone Number
- 315-445-7465
- Fax Number
- 315-445-7675
License Information
- License Number
- ODTA00323
- License State
- RI
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Wakefield, RI
View all Optometrists in Wakefield →- Dr Steven Michael Kreiger & Associates, INC.Optometrist · NPI 1316247273
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- Mark Deresienski, ODOptometrist · NPI 1952494759
- Nicole Fantoni, ODOptometrist · NPI 1316030125
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Frequently Asked Questions
What is the NPI number of Dr. Michael R Iannuccilli, OD?
The NPI number of Dr. Michael R Iannuccilli, OD is 1972554053. It was assigned on May 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael R Iannuccilli, OD?
Dr. Michael R Iannuccilli, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTA00323.
Where does Dr. Michael R Iannuccilli, OD practice?
The practice location is 553 Kingstown RD, Optometric Providers Of Rhode Island, INC, Wakefield, RI 02879-3600. The office can be reached at 401-782-2100 (phone) or 401-848-7402 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972554053 directly on the NPPES registry website.