Hermida, Raymond Amado
Hermida, Raymond Amado is an individual health care provider with primary practice located at 2229 W New Haven Ave , Melbourne FL 32904-3805. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hermida, Raymond Amado can be contacted via phone (321) 726-6551.Contact Information
Primary practice address
2229 W New Haven Ave
Melbourne FL 32904-3805
Phone: (321) 726-6551
Fax: (321) 726-0443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2898 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC2898 | Florida |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | OB2475 | Florida |
Profile Details
| NPI number | 1750322368 |
|---|---|
| LBN Legal business name | Hermida, Raymond Amado |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Feb 13th, 2014 - about 10 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 | 1750322368 | NPPES |
| Florida | MEDICAID | 620265900 |
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