Biderman, Mitchell S
Biderman, Mitchell S is an sole proprietor health care provider with primary practice located at 2305 Oleander Blvd , Fort Pierce FL 34982-5830. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Biderman, Mitchell S can be contacted via phone (772) 465-6616.Contact Information
Primary practice address
2305 Oleander Blvd
Fort Pierce FL 34982-5830
Phone: (772) 465-6616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1718 | Florida |
Profile Details
| NPI number | 1669493102 |
|---|---|
| LBN Legal business name | Biderman, Mitchell S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Nov 14th, 2023 - about last year |
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 | 1669493102 | NPPES |
| Florida | Other | 19949 | BC/BS |
| Florida | MEDICAID | 620802900 | BC/BS |
| Florida | Other | 410049282 | BC/BS |
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