Deon Rae Erickson Od Inc

LBN: Deon Rae Erickson Od Inc
Deon Rae Erickson Od Inc is an health care organization with primary practice located at 3615 W Woolbright Rd , Boynton Beach FL 33436-7244. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Deon Rae Erickson Od Inc can be contacted via phone (561) 734-1887, or through Erickson, Deon Rae via phone (561) 734-1887.

Contact Information

Primary practice address
3615 W Woolbright Rd Boynton Beach FL 33436-7244
Phone: (561) 734-1887
Fax: (561) 736-8991
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Deon Rae Doctor of Optometry (OD)
Phone: (561) 734-1887

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X FL2628 Florida

Profile Details

NPI number 1629250436
LBN Legal business name Deon Rae Erickson Od Inc
DBA Doing business as
Authorized official Erickson, Deon Rae Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jan 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629250436 NPPES
Florida MEDICAID 084865400

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