Active NPIIndividual provider

Dr. Thomas A Antonian, OD

Optometrist in East Prov, Rhode Island

NPI Number1972605905
Practice location
2728 Pawt Ave, East Prov, RI 02914
Fax
401-435-3405
Last updated
August 1, 2012

Thomas A Antonian is an Optometrist based in East Prov, RI. Thomas A Antonian practices in East Prov, RI and has the professional credentials of OD. The NPI Number for Thomas A Antonian is 1972605905 and holds a License No. 2550 (MA). The current practice location address for Thomas A Antonian is 2728 Pawt Ave, East Prov, RI 02914 and can be reached out via phone at 401-434-5532 and via fax at 401-435-3405.

Provider Profile Details

NPI Number
1972605905
Provider Name
Thomas A Antonian
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
2728 Pawt Ave, East Prov, RI 02914
Phone Number
401-434-5532
Fax Number
401-435-3405
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2006
Last Update Date
August 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2728 Pawt Ave
East Prov, RI 02914
Zip
02914
Phone Number
401-434-5532
Fax Number
401-435-3405
East Prov, RI 02914Get directions →

Provider Business Mailing Address Details

Address
2728 Pawtucket Ave
East Providence, RI 02914
City
East Providence
State
RI
Zip
02914
Phone Number
401-434-5532
Fax Number
401-435-3405

License Information

License Number (1)
2550
License State (1)
MA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
ODTG00480
License State (2)
RI
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Thomas A Antonian, OD?

The NPI number of Dr. Thomas A Antonian, OD is 1972605905. It was assigned on September 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas A Antonian, OD?

Dr. Thomas A Antonian, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 2550.

Where does Dr. Thomas A Antonian, OD practice?

The practice location is 2728 Pawt Ave, East Prov, RI 02914. The office can be reached at 401-434-5532 (phone) or 401-435-3405 (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 1972605905 directly on the NPPES registry website.

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