Beazer, Roderick Blair
Beazer, Roderick Blair is an sole proprietor health care provider with primary practice located at 9623 32Nd St Se Ste D121 , Lake Stevens WA 98258-5780. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beazer, Roderick Blair can be contacted via phone (425) 377-9747.Contact Information
Primary practice address
9623 32Nd St Se Ste D121
Lake Stevens WA 98258-5780
Phone: (425) 377-9747
Fax: (425) 377-8757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD60530417 | Washington |
Profile Details
| NPI number | 1790040673 |
|---|---|
| LBN Legal business name | Beazer, Roderick Blair |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2012 |
| Last updated | Oct 28th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790040673 | NPPES |
| Washington | Other | OD60530417 | WASHINGTON DEPARTMENT OF HEALTH |
Popular Providers
-
Seiler, Thomas J
424 W 3Rd Ave , Moses Lake WA 98837-1908 -
Fischer, Laura J
22106 E Country Vista Dr Suite A, Liberty Lake WA 99019-6017 -
Creviston, Stephen H
601 S Pioneer Way Suite D, Moses Lake WA 98837-4801 -
Cudahy, Bruce Gerald
9801 204Th Ave E , Bonney Lake WA 98391-6559 -
Fleming, Michael J
621 State Route 9 Ne Pmb # F3, Lake Stevens WA 98258-8525 -
Osborne, Kevin D
215 E Broadway Ave , Moses Lake WA 98837-1717 -
Darnell, Michelle
23505 E Appleway Ave Ste 106 , Liberty Lake WA 99019-6003 -
Vo, Thu-Thuy
515 Sr 9 Ste 104 , Lake Stevens WA 98258-8523