Lubas, Richard M

Lubas, Richard M is an sole proprietor health care provider with primary practice located at 700 Oak St , Brockton MA 02301-1105. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lubas, Richard M can be contacted via phone (508) 584-8886.

Contact Information

Primary practice address
700 Oak St Brockton MA 02301-1105
Fax: (508) 584-8500
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4196 Massachusetts

Profile Details

NPI number 1164588497
LBN Legal business name Lubas, Richard M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1164588497 NPPES
Massachusetts MEDICAID 0320625

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