Rodrigues, Brian M

Rodrigues, Brian M is an individual health care provider with primary practice located at 57 Croton Ave Ste 3 , Ossining NY 10562-4920. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Rodrigues, Brian M can be contacted via phone (914) 923-0300.

Contact Information

Primary practice address
57 Croton Ave Ste 3 Ossining NY 10562-4920
Fax: (914) 923-0300
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2903 Connecticut
Eye and Vision Services Providers / Vision Therapy 152WV0400X 007907 New York
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2903 Connecticut
Eye and Vision Services Providers / Optometrist 152W00000X 007907 New York

Profile Details

NPI number 1407103344
LBN Legal business name Rodrigues, Brian M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2012
Last updated Dec 30th, 2022 - about 4 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 1407103344 NPPES
New York MEDICAID 03548634

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