Provider Demographics
NPI:1386945640
Name:RICHARD R. NAMIKAS, M.S., CCC-A, INC.
Entity type:Organization
Organization Name:RICHARD R. NAMIKAS, M.S., CCC-A, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMIKAS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:941-496-9277
Mailing Address - Street 1:524 BELLAIRE DR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-3801
Mailing Address - Country:US
Mailing Address - Phone:941-493-4472
Mailing Address - Fax:941-496-9522
Practice Address - Street 1:183 CENTER RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-5572
Practice Address - Country:US
Practice Address - Phone:941-496-9277
Practice Address - Fax:941-496-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY251231H00000X
261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty