Grossman, Richard Alan
Grossman, Richard Alan is an individual health care provider with primary practice located at 488 Pleasant St , Worcester MA 01609-1857. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grossman, Richard Alan can be contacted via phone (508) 756-6832.Contact Information
Primary practice address
488 Pleasant St
Worcester MA 01609-1857
Phone: (508) 756-6832
Fax: (508) 756-5266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2398 | Massachusetts |
Profile Details
| NPI number | 1447208715 |
|---|---|
| LBN Legal business name | Grossman, Richard Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1447208715 | NPPES |
| Massachusetts | Other | MG0334588M | CONTROLLED SUBSTANCES REG |
| Massachusetts | MEDICAID | 0325481 | CONTROLLED SUBSTANCES REG |
| Massachusetts | Other | 2398 | CONTROLLED SUBSTANCES REG |
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