Rosenthal, Ivan Stewart

Rosenthal, Ivan Stewart is an sole proprietor health care provider with primary practice located at 23 Ne 44Th St , Oakland Park FL 33334-1437. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rosenthal, Ivan Stewart can be contacted via phone (561) 487-0818.

Contact Information

Primary practice address
23 Ne 44Th St Oakland Park FL 33334-1437
Phone: (561) 487-0818
Fax: (561) 487-9030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1248 Florida

Profile Details

NPI number 1821034042
LBN Legal business name Rosenthal, Ivan Stewart
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Nov 24th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821034042 NPPES
Florida MEDICAID 620511900
Florida Other 410027418

Popular Providers