| Modern Eyes Llc | |
|
145 Newport Ave, Pawtucket, RI 02861 | |
| (401) 524-4025 | |
| Not Available |
| Full Name | Modern Eyes Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 145 Newport Ave, Pawtucket, 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 |
|---|---|---|---|
| 1265938179 | NPI | - | NPPES |
| 1447633060 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODTG00620 (Rhode Island) | Primary |
| Provider Name | Vincenzo L Gianfrancesco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447633060 PECOS PAC ID: 5799092458 Enrollment ID: I20180724003711 |
| Provider Name | Kellie C Mcmahon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114303625 PECOS PAC ID: 5890002968 Enrollment ID: I20180803000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Eyes Llc 145 Newport Ave, Pawtucket, RI 02861-4107 Ph: (401) 729-0200 | Modern Eyes Llc 145 Newport Ave, Pawtucket, RI 02861 Ph: (401) 524-4025 |
Dr. Jonathan D Kaplan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2 Dexter St, Pawtucket, RI 02860 Phone: 401-723-9540 Fax: 401-725-6583 | |
Dr. Benjamin D Klibanoff, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 55 Broad St, Pawtucket, RI 02860 Phone: 401-723-3400 | |
Dr. Kenneth A Kaplan, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2 Dexter St, Pawtucket, RI 02860 Phone: 401-723-9540 Fax: 401-725-6583 | |
Glenn S. Prescod, M.d., M.p.h., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 333 School St, Suite 301, Pawtucket, RI 02860 Phone: 401-725-3600 Fax: 401-728-8760 | |
David Klibanoff, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 121 Broad St, Pawtucket, RI 02860 Phone: 401-723-3400 Fax: 401-727-2326 | |
Dr. Peter J Liberto, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 145 Newport Ave, Pawtucket, RI 02861 Phone: 401-729-0200 Fax: 401-729-0222 |