Dr Richard A Rosenberg, Od

LBN: Dr Richard A Rosenberg, Od
Dr Richard A Rosenberg, Od is an health care organization with primary practice located at 302 Sunset Drive Ste 109, Johnson City TN 37604-9999. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr Richard A Rosenberg, Od can be contacted via phone (423) 282-1742, or through Rosenberg, Richard A via phone (423) 282-1742.

Contact Information

Primary practice address
302 Sunset Drive Ste 109 Johnson City TN 37604-9999
Fax:
Website:
Authorized official contact:
Name: Rosenberg, Richard A

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TN0664 Tennessee

Profile Details

NPI number 1134312358
LBN Legal business name Dr Richard A Rosenberg, Od
DBA Doing business as
Authorized official Rosenberg, Richard A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2007
Last updated Sep 5th, 2007 - about 17 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 1134312358 NPPES
Tennessee MEDICAID 3943775

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