Ryczek, Dennis Carl

Ryczek, Dennis Carl is an individual health care provider with primary practice located at 5412 Central Ave , Saint Petersburg FL 33707-6131. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ryczek, Dennis Carl can be contacted via phone (727) 327-8855.

Contact Information

Primary practice address
5412 Central Ave Saint Petersburg FL 33707-6131
Phone: (727) 327-8855
Fax: (727) 323-0720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1962 Florida

Profile Details

NPI number 1447243852
LBN Legal business name Ryczek, Dennis Carl
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated May 8th, 2020 - about 4 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 1447243852 NPPES
Florida Other 19288 BLUE CROSS BLUE SHIELD
Florida Other 410044753 BLUE CROSS BLUE SHIELD
Florida MEDICAID 084726700 BLUE CROSS BLUE SHIELD

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