Bolos, Howard
Bolos, Howard is an sole proprietor health care provider with primary practice located at 113 Maryland Ave , Cocoa FL 32922-7832. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bolos, Howard can be contacted via phone (321) 636-4422.Contact Information
Primary practice address
113 Maryland Ave
Cocoa FL 32922-7832
Phone: (321) 636-4422
Fax: (321) 632-9254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC 001719 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1719 | Florida |
Profile Details
| NPI number | 1609984665 |
|---|---|
| LBN Legal business name | Bolos, Howard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Sep 26th, 2018 - about 6 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 | 1609984665 | NPPES |
| Florida | MEDICAID | 078230100 |
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