Cornish, Brandon William
Cornish, Brandon William is an sole proprietor health care provider with primary practice located at 640 N Federal Hwy , Fort Lauderdale FL 33304-4686. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cornish, Brandon William can be contacted via phone (954) 522-3918.Contact Information
Primary practice address
640 N Federal Hwy
Fort Lauderdale FL 33304-4686
Phone: (954) 522-3918
Fax: (954) 522-5137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC004217 | Florida |
Profile Details
| NPI number | 1396937470 |
|---|---|
| LBN Legal business name | Cornish, Brandon William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Sep 10th, 2015 - about 10 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 | 1396937470 | NPPES |
| Florida | MEDICAID | 6212671 00 |
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