Walter, Darrell Ray
Walter, Darrell Ray is an sole proprietor health care provider with primary practice located at 107 Kingsway Rd , Brandon FL 33510-4601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Walter, Darrell Ray can be contacted via phone (813) 689-2222.Contact Information
Primary practice address
107 Kingsway Rd
Brandon FL 33510-4601
Phone: (813) 689-2222
Fax: (813) 689-0802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1125 | Florida |
Profile Details
| NPI number | 1366511388 |
|---|---|
| LBN Legal business name | Walter, Darrell Ray |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Apr 11th, 2008 - about 17 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 | 1366511388 | NPPES |
| Florida | Other | 19792 | BLUE CROSS BLUE SHIELD |
Popular Providers
-
Sieboldt, Kent M
324 E Bloomingdale Ave , Brandon FL 33511-8155 -
Marquis, Carol M
540 Medical Oaks Ave Ste 103 , Brandon FL 33511-5995 -
Ocasio, John A
227-B Brandon Towne Center Drive , Brandon FL 33511 -
Kirkland, Stephanie L
1929A W Brandon Blvd , Brandon FL 33511 -
Truong, Susan
11110 Causeway Blvd , Brandon FL 33511-2900 -
Cuva, Laura N.
1933 W Brandon Blvd Pearle Vision, Brandon FL 33511-4813 -
Pierce, Ronald R
1933 W Brandon Blvd , Brandon FL 33511-4813 -
Winkler, Ruth Ann
307 Brandon Town Center Mall , Brandon FL 33511-4723