# RICHARD A NORMAN PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811291578
- **Authorized official:** DR. RICHARD A NORMAN O.D. (PRESIDENT)
- **Authorized official phone:** (954) 434-4671

## Contact information

- **Practice address:** 4671 S UNIVERSITY DR, DAVIE, FL 33328
- **Practice address phone:** (954) 434-4671
- **Practice address fax:** (954) 434-4556
- **Mailing address:** 4671 S UNIVERSITY DR, DAVIE, FL 33328-3817
- **Mailing address phone:** (954) 434-4671
- **Mailing address fax:** (954) 434-4556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1492 | FL | Yes |

## Other

- **Enumeration date:** 01/10/2011
- **Last updated:** 07/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078141000 | — | FL |
| 01 | — | 19223 | MEDICARE | FL |