Wilson, Richard C

Wilson, Richard C is an individual health care provider with primary practice located at 6708 Raytown Rd , Raytown MO 64133-5272. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilson, Richard C can be contacted via phone (816) 353-1872.

Contact Information

Primary practice address
6708 Raytown Rd Raytown MO 64133-5272
Phone: (816) 353-1872
Fax: (816) 353-5022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO 3339 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X KS 1674 Kansas

Profile Details

NPI number 1538143540
LBN Legal business name Wilson, Richard C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Nov 12th, 2010 - about 16 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 1538143540 NPPES
Other 410037607 RAILROAD MEDICARE
Other TO 3339 RAILROAD MEDICARE
Other KS 1674 RAILROAD MEDICARE
MEDICAID 312239309 RAILROAD MEDICARE

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