Norman, Richard A

Norman, Richard A is an sole proprietor health care provider with primary practice located at 4671 S University Dr , Davie FL 33328. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Norman, Richard A can be contacted via phone (954) 434-4671.

Contact Information

Primary practice address
4671 S University Dr Davie FL 33328
Phone: (954) 434-4671
Fax: (954) 434-4556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC1492 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC1492 Florida

Profile Details

NPI number 1922071612
LBN Legal business name Norman, Richard A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2006
Last updated Jul 30th, 2018 - about 8 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 1922071612 NPPES
Florida MEDICAID 078141000

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