Kidder, Richard A

Kidder, Richard A is an sole proprietor health care provider with primary practice located at 23002 Lake Center Dr , Lake Forest CA 92630-6801. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kidder, Richard A can be contacted via phone (949) 454-1064.

Contact Information

Primary practice address
23002 Lake Center Dr Lake Forest CA 92630-6801
Phone: (949) 454-1064
Fax: (949) 454-4111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6718T California

Profile Details

NPI number 1629155924
LBN Legal business name Kidder, Richard A
Credentials OPTOMETRIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - 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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