Braswell, David R
Braswell, David R is an individual health care provider with primary practice located at 819 Tiffany Blvd , Rocky Mount NC 27804-1812. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Braswell, David R can be contacted via phone (252) 972-2020.Contact Information
Primary practice address
819 Tiffany Blvd
Rocky Mount NC 27804-1812
Phone: (252) 972-2020
Fax: (252) 977-7241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1410 | North Carolina |
Profile Details
| NPI number | 1740223866 |
|---|---|
| LBN Legal business name | Braswell, David R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Nov 28th, 2007 - about 17 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 | 1740223866 | NPPES |
| North Carolina | Other | 0913B | BCBSNC PROVIDER ID |
| North Carolina | MEDICAID | 890913B | BCBSNC PROVIDER ID |
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