Carlson, Ruben Eric

Carlson, Ruben Eric is an individual health care provider with primary practice located at 5201 E Busch Blvd , Tampa FL 33617-5403. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carlson, Ruben Eric can be contacted via phone (813) 979-2929.

Contact Information

Primary practice address
5201 E Busch Blvd Tampa FL 33617-5403
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4262 Florida

Profile Details

NPI number 1881658565
LBN Legal business name Carlson, Ruben Eric
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Dec 15th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881658565 NPPES
New York MEDICAID 02373320

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