Poole, Richard R
Poole, Richard R is an sole proprietor health care provider with primary practice located at 201 W South St , Union SC 29379-2836. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Poole, Richard R can be contacted via phone (864) 427-0615.Contact Information
Primary practice address
201 W South St
Union SC 29379-2836
Phone: (864) 427-0615
Fax: (864) 429-8045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 641 | South Carolina |
Profile Details
| NPI number | 1578551735 |
|---|---|
| LBN Legal business name | Poole, Richard R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Dec 28th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578551735 | NPPES |
| South Carolina | MEDICAID | D06410 |
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