Rock, Richard Russell
Rock, Richard Russell is an sole proprietor health care provider with primary practice located at 348 Hartford Tpke , Vernon CT 06066-4747. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rock, Richard Russell can be contacted via phone (860) 870-5800.Contact Information
Primary practice address
348 Hartford Tpke
Vernon CT 06066-4747
Phone: (860) 870-5800
Fax: (860) 871-0579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CT0745 | Connecticut |
Profile Details
| NPI number | 1073652558 |
|---|---|
| LBN Legal business name | Rock, Richard Russell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | May 17th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073652558 | NPPES |
| Connecticut | Other | 448993 | CONNETICARE |
| Connecticut | Other | OXFORD | CONNETICARE |
| Connecticut | Other | 2322856 | CONNETICARE |
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