Theroux, James P

Theroux, James P is an individual health care provider with primary practice located at 166 Cass Ave , Woonsocket RI 02895-4712. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Theroux, James P can be contacted via phone (401) 769-2511.

Contact Information

Primary practice address
166 Cass Ave Woonsocket RI 02895-4712
Phone: (401) 769-2511
Fax: (401) 769-7696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00410 Rhode Island

Profile Details

NPI number 1326074972
LBN Legal business name Theroux, James P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Sep 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326074972 NPPES
Rhode Island MEDICAID 7000260

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