Beddow, R Dean
Beddow, R Dean is an individual health care provider with primary practice located at 3408 Olsen Blvd , Amarillo TX 79109-3017. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beddow, R Dean can be contacted via phone (806) 355-5633.Contact Information
Primary practice address
3408 Olsen Blvd
Amarillo TX 79109-3017
Phone: (806) 355-5633
Fax: (806) 355-9133
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 01816TG | Texas |
Profile Details
NPI number | 1629046230 |
---|---|
LBN Legal business name | Beddow, R Dean |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2006 |
Last updated | Feb 24th, 2016 - about 9 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 | 1629046230 | NPPES |
Texas | MEDICAID | 112473701 | |
Texas | Other | 83132Q |
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