Provider Demographics
NPI:1093966954
Name:GRILLS, NORA ANN M (OD)
Entity type:Individual
Prefix:DR
First Name:NORA ANN
Middle Name:M
Last Name:GRILLS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:NORA ANN
Other - Middle Name:M
Other - Last Name:LUCCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:17 WELLS ST STE 101
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2923
Mailing Address - Country:US
Mailing Address - Phone:401-348-2020
Mailing Address - Fax:
Practice Address - Street 1:17 WELLS ST STE 101
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2923
Practice Address - Country:US
Practice Address - Phone:401-348-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2750152W00000X
RIODTG00764152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist