Brilliant, Richard L
Brilliant, Richard L is an individual health care provider with primary practice located at 100 W Sproul Rd Suite 125, Springfield PA 19064-2033. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Low Vision Rehabilitation is his primary health care specialty. Brilliant, Richard L can be contacted via phone (610) 690-4900.Contact Information
Primary practice address
100 W Sproul Rd Suite 125
Springfield PA 19064-2033
Phone: (610) 690-4900
Fax: (610) 690-4910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OEG000447 | Pennsylvania |
Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000447 | Pennsylvania |
Profile Details
NPI number | 1366500183 |
---|---|
LBN Legal business name | Brilliant, Richard L |
Credentials | OPTOMETRY |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2006 |
Last updated | Sep 2nd, 2016 - about 8 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 | 1366500183 | NPPES |
Pennsylvania | Other | 67097 | BLUE SHIELD |
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