Organization · Type 2 NPI
Clyde E Haworth JR
Eyewear Supplier · Cumberland, RI
NPI number
1376721936
Active
Practice location
2190 Mendon Road
Cumberland, RI 02864-3805
Fax (401) 333-0490
Mailing address
2190 Mendon Rd
Cumberland, RI 02864-3805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | ODTG495 (RI) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1376721936
Clyde E Haworth JR's National Provider Identifier is 1376721936, issued on Feb 6, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Cumberland, RI. The record was last updated on Jan 20, 2012.