Ewing, Richard A

Ewing, Richard A is an individual health care provider with primary practice located at 5821 Sprague Ct , Tacoma WA 98409. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Ewing, Richard A can be contacted via phone (253) 456-4120.

Contact Information

Primary practice address
5821 Sprague Ct Tacoma WA 98409
Phone: (253) 456-4120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OD00000818 Washington

Profile Details

NPI number 1134263726
LBN Legal business name Ewing, Richard A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated May 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134263726 NPPES
Washington MEDICAID 2260107

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