Providence Refractive, L.L.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROVIDENCE REFRACTIVE, L.L.C.

Practice address

10 Orms St
Providence, RI 02904-2228

Phone

(401) 351-8683

NPI assigned

May 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian L Andrew

Title

Secretary

Phone

(636) 534-2300

Specialties & licenses 1

Addresses

Other names 1

• TLC Laser Eye Centers Providence Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265646012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SWINGLEY RIDGE RD",
            "address_2": "STE. 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171777",
            "telephone_number": "636-534-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ORMS ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042228",
            "telephone_number": "401-351-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE REFRACTIVE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "636-534-2300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Laser Eye Centers Providence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Physical Therapy Associates, Inc.
• Providence Prep Charter School
• Providence Preparatory Charter School
• Providence Psychology Services, LLC
• Providence Psychotherapy Clinic Inc
• Providence Surgical Care Group, Incorporated
• Providence Urology, LLC
• Providence VA Medical Center
• Providence VA Medical Center
• Providence VA Medical Center

• Clinic/Center in Providence, RI
• Providers in Providence, RI by specialty
• Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.