| Organization Name: | NEWPORT OPTICAL INC |
| NPI Number: | 1477767630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAFA F WAGDI (PRESIDENT) |
| Mailing Address: | 1002 Broad St Suite 7 Central Falls |
| State: | RI US |
| Postal Code: | 028631500 |
| Phone Number: | 4017230083 |
| Fax Number: | 4017224950 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | RI 93 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |