Provider Demographics
NPI:1487176012
Name:CVS AOC SERVICES, L.L.C.
Entity type:Organization
Organization Name:CVS AOC SERVICES, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-770-2286
Mailing Address - Street 1:1 CVS DR
Mailing Address - Street 2:MAILSTOP #3005
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-6146
Mailing Address - Country:US
Mailing Address - Phone:401-770-2286
Mailing Address - Fax:
Practice Address - Street 1:1 CVS DR
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-6146
Practice Address - Country:US
Practice Address - Phone:401-770-7670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CVS PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-14
Last Update Date:2020-08-07
Deactivation Date:2020-01-27
Deactivation Code:
Reactivation Date:2020-07-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty