Cornelius, William B

Cornelius, William B is an individual health care provider with primary practice located at 160 Boston Ave , Altamonte Springs FL 32701-4798. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cornelius, William B can be contacted via phone (407) 834-7776.

Contact Information

Primary practice address
160 Boston Ave Altamonte Springs FL 32701-4798
Phone: (407) 834-7776
Fax: (407) 834-0973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC00976 Florida

Profile Details

NPI number 1598755308
LBN Legal business name Cornelius, William B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 20th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598755308 NPPES
Florida MEDICAID 084154400

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