| Organization Name: | CANDESCENT EYE SURGICENTER LLC |
| NPI Number: | 1023399318 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXANDER S. MCGRATH (MANAGER) |
| Mailing Address: | 444 Quaker Ln Warwick |
| State: | RI US |
| Postal Code: | 028860185 |
| Phone Number: | 4013846537 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2011 |
| NPI Last Update Date: | 08/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |