Hernandez, Richard W
Hernandez, Richard W is an individual health care provider with primary practice located at 36021 Us Highway 19 N , Palm Harbor FL 34684-1531. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hernandez, Richard W can be contacted via phone (727) 772-1000.Contact Information
Primary practice address
36021 Us Highway 19 N
Palm Harbor FL 34684-1531
Phone: (727) 772-1000
Fax: (727) 771-0770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2603 | Florida |
Profile Details
| NPI number | 1952302648 |
|---|---|
| LBN Legal business name | Hernandez, Richard W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Dec 20th, 2021 - about 5 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 | 1952302648 | NPPES |
| Florida | MEDICAID | 086946501 |
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