Richey, Michael S

Richey, Michael S is an individual health care provider with primary practice located at 1710 North Ave , Spearfish SD 57783. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Richey, Michael S can be contacted via phone (605) 642-8480.

Contact Information

Primary practice address
1710 North Ave Spearfish SD 57783
Phone: (605) 642-8480
Fax: (605) 642-8185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 450 South Dakota

Profile Details

NPI number 1992815500
LBN Legal business name Richey, Michael S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 29th, 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 1992815500 NPPES
South Dakota Other 0076521 BLUE CROSS
South Dakota Other 120802100 BLUE CROSS
South Dakota MEDICAID 9201880 BLUE CROSS

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