Hernandez, Richard W

Hernandez, Richard W is an individual health care provider with primary practice located at 36021 Us Highway 19 N , Palm Harbor FL 34684-1531. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hernandez, Richard W can be contacted via phone (727) 772-1000.

Contact Information

Primary practice address
36021 Us Highway 19 N Palm Harbor FL 34684-1531
Fax: (727) 771-0770
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2603 Florida

Profile Details

NPI number 1952302648
LBN Legal business name Hernandez, Richard W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Dec 20th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952302648 NPPES
Florida MEDICAID 086946501

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