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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BENJAMIN D KLIBANOFF, OD

Active Sole Proprietor

DR. BENJAMIN D KLIBANOFF, OD is a Optometrist healthcare provider located in PAWTUCKET, Rhode Island. NPI 1053611996 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PAWTUCKET, RI

Registration Details

NPI Number
1053611996
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2010 (15.836457013394 yrs)
Last Updated
Apr 12, 2016
Licenses
CODTG00551 (RI)
4822 (MA)
Sole Proprietor
Yes

Practice Information

Address
55 BROAD ST
PAWTUCKET, RI, 028602023
Browse RI providers · Browse ZIP 02860
Phone
4017233400
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in PAWTUCKET, RI

Name Credential NPI
DR. PETER J LIBERTO O.D. 1396730453
DAVID KLIBANOFF 1275501421
DR. JONATHAN D KAPLAN O.D. 1023077898
CATHERINE HARRISON PARRIS O.D. 1891751095
DR. KENNETH A KAPLAN 1073628921
DR. ROBERT ALEXANDER MACBETH 1629172366
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.