Basic Information
Provider Information
NPI: 1598380610
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAPPI
FirstName: MEGAN
MiddleName: E.
NamePrefix:  
NameSuffix:  
Credential: OD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 375 ALLENS AVE
Address2:  
City: PROVIDENCE
State: RI
PostalCode: 029055010
CountryCode: US
TelephoneNumber: 4014440400
FaxNumber: 4014440468
Practice Location
Address1: 335 PRAIRIE AVE
Address2:  
City: PROVIDENCE
State: RI
PostalCode: 029051924
CountryCode: US
TelephoneNumber: 4014440570
FaxNumber: 4014440427
Other Information
ProviderEnumerationDate: 06/15/2020
LastUpdateDate: 08/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000XODTG00693RIY Eye and Vision Services ProvidersOptometrist 

No ID Information.


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