Clyde E Haworth Jr

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

ODTG495 Issued in RI

Legal business name

CLYDE E HAWORTH JR

Practice address

2190 Mendon Road
Cumberland, RI 02864-3805

Phone

(401) 333-0090

Fax

(401) 333-0490

NPI assigned

Feb 6, 2008

Last updated

Jan 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clyde E Haworth Jr., O.D.NPI 1437232246

Title

Owner

Phone

(401) 333-0090

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clyde E Haworth

  • Optometrist
  • Cumberland, RI
  • NPI 1437232246
  Authorized official Same address or phone
• Jacob Hettinger, O.D.

  • Optometrist
  • Providence, RI
  • NPI 1518318898
  NPD (past)
• Stephanie Sturgis, OD

  • Optometrist
  • Providence, RI
  • NPI 1083098156
  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1376721936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643805",
            "telephone_number": "401-333-0090",
            "fax_number": "401-333-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 MENDON ROAD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643805",
            "telephone_number": "401-333-0090",
            "fax_number": "401-333-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE E HAWORTH JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "HAWORTH",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-333-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "RI",
            "license": "ODTG495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Chicoine
• Stephanie Anne Chowning, OTR
• Brad Michael Ciano, DPM
• Erica Clavet
• Abigail Cleland, RN
• Loriann Collins, RPH, MBA
• Donnella Simone Comeau, MD PHD
• Compass Counseling of Ri
• Concentra Health Care PA
• Concentra Primary Care PA (Concentra Primary Care)

• Eyewear Supplier in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Eyewear Supplier in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.