Provider Demographics
NPI:1871637827
Name:RASHID, NICHOLAS (OD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:RASHID
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 NE 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-2201
Mailing Address - Country:US
Mailing Address - Phone:954-558-9551
Mailing Address - Fax:
Practice Address - Street 1:2583 E SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3203
Practice Address - Country:US
Practice Address - Phone:954-563-8288
Practice Address - Fax:954-563-8488
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3735152W00000X
FLOB 3089152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL208841OtherUSER ID WITH EYEMED