Newcomb, Richard Lynn

Newcomb, Richard Lynn is an sole proprietor health care provider with primary practice located at 1411 N Jefferson St , Carrollton MO 64633-1945. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Newcomb, Richard Lynn can be contacted via phone (660) 542-2715.

Contact Information

Primary practice address
1411 N Jefferson St Carrollton MO 64633-1945
Fax: (660) 542-2227
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02635 Missouri

Profile Details

NPI number 1841309713
LBN Legal business name Newcomb, Richard Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jun 26th, 2015 - about 9 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 1841309713 NPPES
Other 410029304 RAILROAD MEDICARE
Other 13839018 RAILROAD MEDICARE
Other 160226 RAILROAD MEDICARE
MEDICAID 312171705 RAILROAD MEDICARE

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