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MRS. KIM J. CHACE RDO

Eye and Vision Services Providers Technician/Technologist Optician

Provider NPI: 1164830675

Provider Information:
MRS. KIM J. CHACE RDO
Gender: F
Sole Proprietor

Practice Location:
5600 POST RD BENNY'S PLAZA EAST GREENWICH, RI 02818-3400 US
Tel: 401-885-2166  Fax: 401-885-2201

Business Mailing Address:
5600 POST RD BENNY'S PLAZA SUITE 111 EAST GREENWICH, RI 02818-3400 US
Tel: 401-885-2166  Fax: 401-885-2201

NPI Information:
NPI: 1164830675
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FX1800XEye and Vision Services Providers
Technician/Technologist
Optician
RI212

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 156FX1800X

Type:

Classification:



Definition:



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