Lake, Richard B

Lake, Richard B is an sole proprietor health care provider with primary practice located at 6027 Cypress Gardens Blvd , Winter Haven FL 33884-4115. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lake, Richard B can be contacted via phone (863) 326-5824.

Contact Information

Primary practice address
6027 Cypress Gardens Blvd Winter Haven FL 33884-4115
Phone: (863) 326-5824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP1036 Florida

Profile Details

NPI number 1255338513
LBN Legal business name Lake, Richard B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Aug 21st, 2007 - about 17 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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