Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mandalay Optical Labs, LLC

Organization Optometrist · NPI 1396251740

Mandalay Optical Labs, LLC is an Optometrist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2017.

Licensed in
RI
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

905 Westminster St
Providence, RI 02903-4020
Phone: (401) 331-7850
Fax: (401) 331-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODTA00491 (RI)

Record details

NPI number1396251740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Colonna — Manager · (401) 331-7850
NPI enumeratedDecember 21, 2017
Last updated in NPPESDecember 21, 2017
Mailing address905 Westminster St, Providence, RI 02903-4020

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