Provider Demographics
NPI:1679880207
Name:RICK J BILLINGS OD PA
Entity Type:Organization
Organization Name:RICK J BILLINGS OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:941-923-1119
Mailing Address - Street 1:3900 CLARK RD STE E2
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2372
Mailing Address - Country:US
Mailing Address - Phone:941-923-1119
Mailing Address - Fax:941-923-1858
Practice Address - Street 1:3900 CLARK RD STE E2
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2372
Practice Address - Country:US
Practice Address - Phone:941-923-1119
Practice Address - Fax:941-923-1858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty