IndividualActive
A. Child, OD
NPI 1366599441 · Optometrist · Cranston, RI
Provider details
- NPI number
- 1366599441
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- ODTG00510 (RI)
Practice location
1150 Reservoir Ave
Ll5
Cranston, RI 02920-6068
Phone: (401) 943-8151
Fax: (401) 943-1324
Mailing address
1150 Reservoir Ave
Cranston, RI 02920-6068
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2009-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.