Detweiler Iii, Edwin
Detweiler Iii, Edwin is an individual health care provider with primary practice located at 6002 Pointe West Blvd , Bradenton FL 34209-5531. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Detweiler Iii, Edwin can be contacted via phone (941) 792-2020.Contact Information
Primary practice address
6002 Pointe West Blvd
Bradenton FL 34209-5531
Phone: (941) 792-2020
Fax: (941) 782-1089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC4016 | Florida |
Profile Details
| NPI number | 1154303923 |
|---|---|
| LBN Legal business name | Detweiler Iii, Edwin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Mar 12th, 2019 - about 5 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 | 1154303923 | NPPES |
| Florida | MEDICAID | 621086400 |
Popular Providers
-
Giardina, John Joseph
4555 14Th St. W. , Bradenton FL 34207 -
Lascaibar, Albert Alexander
1141 53Rd Ave W , Bradenton FL 34207-2858 -
Matchok, Rebecca R
5315 Cortez Rd W Vision Center, Bradenton FL 34210-2814 -
Orsillo, Robert
1312 Manatee Ave E , Bradenton FL 34208-1358 -
Mackie, Michael A
2003 Cortez Rd W , Bradenton FL 34207-1241 -
Rutkowsky, Walter F
5005 Manatee Avenue West , Bradenton FL 34209-3857 -
Sinclair, Jeffrey
9122 58Th Dr E , Bradenton FL 34202-9187 -
Johnson, Alisha R
6002 Pointe West Blvd , Bradenton FL 34209-5531