Paul G Rousseau Od Pa

LBN: Paul G Rousseau Od Pa
Paul G Rousseau Od Pa is an health care organization with primary practice located at 5455 Murrell Road Suite 107, Melbourne FL 32955-1986. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Paul G Rousseau Od Pa can be contacted via phone (321) 636-1972, or through Rousseau, Paul G via phone (321) 636-1972.

Contact Information

Primary practice address
5455 Murrell Road Suite 107 Melbourne FL 32955-1986
Phone: (321) 636-1972
Fax: (321) 636-1507
Website:
Map and Directions
Authorized official contact:
Name: Rousseau, Paul G Doctor of Optometry (OD)
Phone: (321) 636-1972

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2641 Florida

Profile Details

NPI number 1003041906
LBN Legal business name Paul G Rousseau Od Pa
DBA Doing business as
Authorized official Rousseau, Paul G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2009
Last updated May 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003041906 NPPES
Florida Other 20396 MEDICARE PTAN

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