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

DR. MICHAEL RAYMOND IANNUCCILLI, OD

Active

DR. MICHAEL RAYMOND IANNUCCILLI, OD is a Optometrist healthcare provider located in WAKEFIELD, Rhode Island. NPI 1972554053 is currently active in the NPPES registry. Verify at CMS.

Optometrist · WAKEFIELD, RI

Registration Details

NPI Number
1972554053
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2006 (20.227791819707 yrs)
Last Updated
Sep 4, 2007
License
ODTA00323 (RI)

Practice Information

Address
553 KINGSTOWN RD
OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC
WAKEFIELD, RI, 028793600
Browse RI providers · Browse ZIP 02879
Phone
4017822100
Fax
4018487402
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in WAKEFIELD, RI

Name Credential NPI
STEVEN M. KREIGER O.D. 1518954940
NICOLE FANTONI O.D. 1316030125
MARK DERESIENSKI O.D. 1952494759
DR. KRISTEN LEE BURNS 1952742934
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.