Fields, Roderick D
Fields, Roderick D is an individual health care provider with primary practice located at 431 Bertucci Blvd , Biloxi MS 39531. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fields, Roderick D can be contacted via phone (228) 385-2020.Contact Information
Primary practice address
431 Bertucci Blvd
Biloxi MS 39531
Phone: (228) 385-2020
Fax: (228) 385-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 421 | Mississippi |
Profile Details
| NPI number | 1073595906 |
|---|---|
| LBN Legal business name | Fields, Roderick D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Nov 9th, 2010 - about 15 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 | 1073595906 | NPPES |
| Mississippi | MEDICAID | 00087640 |
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