Provider Demographics
NPI:1700156577
Name:FOLGO, BARBARA ANN (RI112)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:FOLGO
Suffix:
Gender:F
Credentials:RI112
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-2823
Mailing Address - Country:US
Mailing Address - Phone:401-942-5486
Mailing Address - Fax:401-942-4744
Practice Address - Street 1:815 OAKLAWN AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-2819
Practice Address - Country:US
Practice Address - Phone:401-942-5486
Practice Address - Fax:401-942-4744
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI112156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1639219330Other1639219330 STRAND OPTICAL COMPANY
RI9009839Medicaid