Olivos, William A
Olivos, William A is an sole proprietor health care provider with primary practice located at 4976 S 25Th St , Fort Pierce FL 34981-5009. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Olivos, William A can be contacted via phone (772) 460-8487.Contact Information
Primary practice address
4976 S 25Th St
Fort Pierce FL 34981-5009
Phone: (772) 460-8487
Fax: (772) 460-0225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 3500 | Florida |
Profile Details
| NPI number | 1326017658 |
|---|---|
| LBN Legal business name | Olivos, William A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1326017658 | NPPES |
| Florida | MEDICAID | 002946000 | |
| Florida | Other | 5718990001 | |
| Florida | MEDICAID | 002946001 |
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