Packard, Richard Vandyke

Packard, Richard Vandyke is an sole proprietor health care provider with primary practice located at 74927 Us Highway 111 , Indian Wells CA 92210. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Packard, Richard Vandyke can be contacted via phone (760) 568-2340.

Contact Information

Primary practice address
74927 Us Highway 111 Indian Wells CA 92210
Phone: (760) 568-2340
Fax: (866) 529-1713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 9332TPA California
Eye and Vision Services Providers / Optometrist 152W00000X 9332 California

Profile Details

NPI number 1942358320
LBN Legal business name Packard, Richard Vandyke
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Aug 8th, 2019 - about 5 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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