person
Mr. Robert Leo Burgess, OPTICIAN
Optician in Newport, Rhode Island
NPI 1972665818

Robert Leo Burgess is a Optician based in Newport, RI and is specialized in Optician. Robert Leo Burgess practices in Newport, RI and has the professional credentials of OPTICIAN. The NPI Number for Robert Leo Burgess is 1972665818 and holds a License No. OP 00169 (Rhode Island).

The current practice location address for Robert Leo Burgess is 15 Touro St, Newport, RI and can be reached out via phone at 401-846-0101 and via fax at 401-846-6161. You can also correspond with Robert Leo Burgess through the mailing address at 15 TOURO ST, NEWPORT, RI - 02840-2912 (mailing address contact number: 401-846-0101).

Location: 15 Touro St, Newport, RI, 02840-2912
person
Provider Profile Details
NPI Number
1972665818
Provider Name
Robert Leo Burgess
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
15 Touro St, Newport, RI, 02840-2912
Phone Number
401-846-0101
Fax Number
401-846-6161
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
412086 01 RI BLUE CHIP
0000029104-0 01 RI BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
15 Touro St
City
State
Zip
02840-2912
Phone Number
401-846-0101
Fax Number
401-846-6161
person
Provider Business Mailing Address Details
Address
15 Touro St
City
State
Zip
02840-2912
Phone Number
401-846-0101
Fax Number
401-846-6161
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
OP 00169 (Rhode Island)
Definition
Definition to come...
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