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KLIBANOFF EYE ASSOCIATES LTD NPI 1467508556


NPI Information

NPI: 1467508556
Provider Name: KLIBANOFF EYE ASSOCIATES, LTD
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

CLIA Number: 41D2242612

Address:
121 BROAD ST
PAWTUCKET, RI
ZIP 02860
Phone: (401) 723-3400
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KLIBANOFF EYE ASSOCIATES, LTD is a corneal and contact management optometrist in Pawtucket, RI. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. KLIBANOFF EYE ASSOCIATES, LTD NPI is 1467508556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 BROAD ST
PAWTUCKET, RI
ZIP 02860-053
Phone: (401) 723-3400
Fax: (401) 727-2326

The provider's authorized official is David Allen Klibanoff .
The authorized official title is President and has the following contact phone number (401) 723-3400.

The CLIA number assigned to this NPI record is 41D2242612 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 5/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementODTG00476RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10236250001MEDICARE NSCRHODE ISLAND
2419007949MEDICARE PINRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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