DR. MICHAEL RAYMOND IANNUCCILLI OD
NPI 1972554053
Optometrist in Wakefield, RI

Q: What is Michael Iannuccilli's NPI number?

The NPI number for Michael Iannuccilli is 1972554053. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Michael Iannuccilli's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 13, 2006

553 KINGSTOWN RD, OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC, WAKEFIELD, RI 02879(401) 782-2100(401) 848-7402 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael Raymond Iannuccilli Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL RAYMOND IANNUCCILLI OD (NPI 1972554053) is an individual optometrist in Wakefield, Rhode Island, licensed in Rhode Island (ODTA00323) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1972554053

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MICHAEL RAYMOND IANNUCCILLICredential: OD

Location Address553 KINGSTOWN RD, OPTOMETRIC PROVIDERS OF RHODE ISLAND, INCWakefield, RI 02879-3600

Mailing Address2921 Erie Blvd EastSyracuse, NY 13224 · (315) 445-7465 · Fax (315) 445-7675

Phone(401) 782-2100

Fax(401) 848-7402

Sole ProprietorNo

Enumeration DateMay 13, 2006

Last NPPES UpdateSeptember 4, 2007

✔ NPI 1972554053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in RI · ODTA00323

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

553 KINGSTOWN RD, Wakefield, RI 02879

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Other Identifiers 1

Medicare UPINT53394

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA MILLAR PA-C

Physician Assistant (Medical)