Belanger, Chad Michael

Belanger, Chad Michael is an individual health care provider with primary practice located at 780 N Main St , Providence RI 02904-5706. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Belanger, Chad Michael can be contacted via phone (401) 331-2020.

Contact Information

Primary practice address
780 N Main St Providence RI 02904-5706
Phone: (401) 331-2020
Fax: (314) 741-4947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1390521T Louisiana
Eye and Vision Services Providers / Optometrist 152W00000X TUV008866 New York
Eye and Vision Services Providers / Optometrist 152W00000X OPT7131 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00763 Rhode Island

Profile Details

NPI number 1164427969
LBN Legal business name Belanger, Chad Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 23rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164427969 NPPES
Louisiana MEDICAID 1475963

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