| Charles M Collins Md Ltd | |
|
939 W Main Rd, Middletown, RI 02842-6390 | |
| (401) 847-1383 | |
| (401) 847-1384 |
| Full Name | Charles M Collins Md Ltd |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 939 W Main Rd, Middletown, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851492482 | NPI | - | NPPES |
| 0017102 | Other | MA | MEDICARE |
| CC41177 | Medicaid | RI | |
| 9022363 | Medicaid | RI | |
| 9004227 | Medicaid | RI | |
| 709006179 | Other | RI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Charles M Collins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457452120 PECOS PAC ID: 0042209710 Enrollment ID: I20040507001179 |
| Provider Name | Frederic Kelley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659472249 PECOS PAC ID: 0143252981 Enrollment ID: I20050901000340 |
| Provider Name | Carlos R Defreitas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336136894 PECOS PAC ID: 0446385264 Enrollment ID: I20100323000262 |
| Provider Name | Lucas James Medeiros |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649967498 PECOS PAC ID: 8426403213 Enrollment ID: I20231013003276 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Collins Md Ltd 939 W Main Rd, Middletown, RI 02842-6390 Ph: (401) 847-1383 | Charles M Collins Md Ltd 939 W Main Rd, Middletown, RI 02842-6390 Ph: (401) 847-1383 |