Bruce, Roy Webster
Bruce, Roy Webster is an sole proprietor health care provider with primary practice located at 2602 Jim Redman Pkwy , Plant City FL 33566-9460. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bruce, Roy Webster can be contacted via phone (813) 752-5838.Contact Information
Primary practice address
2602 Jim Redman Pkwy
Plant City FL 33566-9460
Phone: (813) 752-5838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC001905 | Florida |
Profile Details
| NPI number | 1932192010 |
|---|---|
| LBN Legal business name | Bruce, Roy Webster |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | May 11th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932192010 | NPPES |
| Florida | MEDICAID | 078599700 |
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