| Doctor Name: | MRS. KIM J. CHACE |
| NPI Number: | 1164830675 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDO |
| License Number: | 212 |
| Business Practice Address: | 5600 Post Rd Benny's Plaza East Greenwich, RI - 028183400 |
| Business Phone Number: | 4018852166 |
| Business Fax Number: | 4018852201 |
| Mailing Address: | 5600 Post Rd, Benny's Plaza Suite 111 EAST GREENWICH |
| State: | RI |
| Postal Code: | 028183400 |
| Phone Number: | 4018852166 |
| Fax Number: | 4018852201 |
| NPI Enumeration Date: | 07/28/2014 |
| NPI Last Update Date: | 07/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 212 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |