Boren, Richard Andrew
Boren, Richard Andrew is an individual health care provider with primary practice located at 6360 Mae Anne Ave. Suite 1, Reno NV 89523. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Boren, Richard Andrew can be contacted via phone (772) 787-9137.Contact Information
Primary practice address
6360 Mae Anne Ave. Suite 1
Reno NV 89523
Phone: (772) 787-9137
Fax: (775) 323-3652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 354 | Nevada |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 354 | Nevada |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 354 | Nevada |
Profile Details
| NPI number | 1013067099 |
|---|---|
| LBN Legal business name | Boren, Richard Andrew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Sep 20th, 2013 - about 11 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 | 1013067099 | NPPES |
| Nevada | MEDICAID | 1013067099 |
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