Odle, Andrea
Odle, Andrea is an individual health care provider with primary practice located at 385 Mendon Rd , Woonsocket RI 02895-2477. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Odle, Andrea can be contacted via phone (401) 762-4473.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4308 | Massachusetts |
Profile Details
| NPI number | 1588651061 |
|---|---|
| LBN Legal business name | Odle, Andrea |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Dec 9th, 2016 - about 10 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 | 1588651061 | NPPES |
| Massachusetts | MEDICAID | 0337030 |
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