Charis-Ann Ricketts
Optometrist
3200 S University Dr
Davie
, Florida 33328-2018
Charis-Ann Ricketts
Optometrist
3200 S University Dr
Davie
, Florida 33328-2018
(954) 262-2269
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Charis-Ann Ricketts
- Po Box 290370
- Davie, FL
- Zip : 33329-0370
- Fax : (954) 262-2269
- Phone : (954) 262-4397
Second Address
- Charis-Ann Ricketts
- 3200 S University Dr
- Davie, FL
- Zip : 33328-2018
- Fax : (954) 262-3904
- Phone : (954) 262-4235
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC5661 | FL |
National Provider Identifier
| NPI | 1003461666 |
|---|---|
| Provider Name | Charis-Ann Ricketts |
| First Address | Davie, FL 33329-0370 |
| Second Address | Davie, FL 33328-2018 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2019 |
| Last Update Date | 09/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.