Dorazio, Robert L
Dorazio, Robert L is an sole proprietor health care provider with primary practice located at 225 Nizhoni Blvd , Gallup NM 87301. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Dorazio, Robert L can be contacted via phone (505) 863-5747.Contact Information
Primary practice address
225 Nizhoni Blvd
Gallup NM 87301
Phone: (505) 863-5747
Fax: (505) 863-5101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2328 | New Mexico |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 2328 | New Mexico |
Profile Details
| NPI number | 1700994944 |
|---|---|
| LBN Legal business name | Dorazio, Robert L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Jul 9th, 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 | 1700994944 | NPPES |
| New Mexico | MEDICAID | P0987 |
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