Richardson, Donald L

Richardson, Donald L is an sole proprietor health care provider with primary practice located at 246 Poplar Ave Suite 1, Somerset KY 42503-1701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Richardson, Donald L can be contacted via phone (606) 679-5588.

Contact Information

Primary practice address
246 Poplar Ave Suite 1 Somerset KY 42503-1701
Phone: (606) 679-5588
Fax: (606) 677-9394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 991DTKY Kentucky

Profile Details

NPI number 1003904004
LBN Legal business name Richardson, Donald L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated May 26th, 2015 - about 11 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 1003904004 NPPES
Kentucky Other 9213501 MEDICARE
Kentucky MEDICAID 77009918 MEDICARE

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