Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Raymond Iannuccilli, OD

Individual provider Optometrist · NPI 1972554053

Dr. Michael Raymond Iannuccilli, OD is an Optometrist in Wakefield, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

553 Kingstown Rd Optometric Providers Of Rhode Island Inc
Wakefield, RI 02879-3600
Phone: (401) 782-2100
Fax: (401) 848-7402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODTA00323 (RI)

Record details

NPI number1972554053
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 13, 2006
Last updated in NPPESSeptember 4, 2007

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