Privratsky, Richard A

Privratsky, Richard A is an sole proprietor health care provider with primary practice located at 446 3Rd Ave W , Dickinson ND 58601-4940. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Privratsky, Richard A can be contacted via phone (701) 225-2020.

Contact Information

Primary practice address
446 3Rd Ave W Dickinson ND 58601-4940
Phone: (701) 225-2020
Fax: (701) 483-5879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 334 North Dakota

Profile Details

NPI number 1225009285
LBN Legal business name Privratsky, Richard A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Jun 29th, 2010 - about 14 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 1225009285 NPPES
North Dakota Other 800334 BLUE CROSS VISION
North Dakota Other 410019689 BLUE CROSS VISION
North Dakota MEDICAID 60019 BLUE CROSS VISION

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