Bransgrove, Richard W
Bransgrove, Richard W is an sole proprietor health care provider with primary practice located at 10284 Nw 47Th Street , Sunrise FL 33351-7967. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bransgrove, Richard W can be contacted via phone (954) 578-3730.Contact Information
Primary practice address
10284 Nw 47Th Street
Sunrise FL 33351-7967
Phone: (954) 578-3730
Fax: (954) 575-0000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2489 | Florida |
Profile Details
| NPI number | 1841234861 |
|---|---|
| LBN Legal business name | Bransgrove, Richard W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Dec 17th, 2010 - about 15 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 | 1841234861 | NPPES |
| Florida | MEDICAID | 078815500 |
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