Chavis, Richard
Chavis, Richard is an sole proprietor health care provider with primary practice located at 187 E 116Th St Wizard Of Eyes, New York NY 10029-1342. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Chavis, Richard can be contacted via phone (212) 996-7676.Contact Information
Primary practice address
187 E 116Th St Wizard Of Eyes
New York NY 10029-1342
Phone: (212) 996-7676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 006252 | New York |
Profile Details
| NPI number | 1598867418 |
|---|---|
| LBN Legal business name | Chavis, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1598867418 | NPPES |
| New York | MEDICAID | 01371815 |
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