Hart, Richard W

Hart, Richard W is an individual health care provider with primary practice located at 2360 E Pershing Blvd , Cheyenne WY 82001-5356. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hart, Richard W can be contacted via phone (907) 738-1159.

Contact Information

Primary practice address
2360 E Pershing Blvd Cheyenne WY 82001-5356
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 246 Alaska

Profile Details

NPI number 1750445342
LBN Legal business name Hart, Richard W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Nov 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750445342 NPPES
Alaska MEDICAID OD1465

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