Misto, Holly M
Misto, Holly M is an individual health care provider with primary practice located at 17 Wells St Ste 101, Westerly RI 02891-2923. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Misto, Holly M can be contacted via phone (401) 348-2020.Contact Information
Primary practice address
17 Wells St Ste 101
Westerly RI 02891-2923
Phone: (401) 348-2020
Fax: (401) 596-9348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTA00534 | Rhode Island |
Profile Details
| NPI number | 1144278821 |
|---|---|
| LBN Legal business name | Misto, Holly M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 24th, 2012 - about 14 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144278821 | NPPES |
| Rhode Island | MEDICAID | 9021231 |
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