Murray, Richard C

Murray, Richard C is an individual health care provider with primary practice located at 10454 Overland Rd , Boise ID 83709-1433. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Murray, Richard C can be contacted via phone (208) 672-1370.

Contact Information

Primary practice address
10454 Overland Rd Boise ID 83709-1433
Fax: (208) 672-1404
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP782 Idaho

Profile Details

NPI number 1215001383
LBN Legal business name Murray, Richard C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 3rd, 2009 - about 17 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 1215001383 NPPES
Idaho MEDICAID 004321300

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