Richardson, Dennis Raoul
Richardson, Dennis Raoul is an sole proprietor health care provider with primary practice located at 573 Five Cities Dr , Pismo Beach CA 93449-3005. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Richardson, Dennis Raoul can be contacted via phone (805) 773-4700.Contact Information
Primary practice address
573 Five Cities Dr
Pismo Beach CA 93449-3005
Phone: (805) 773-4700
Fax: (323) 296-1062
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 8624 | California |
Profile Details
NPI number | 1588931398 |
---|---|
LBN Legal business name | Richardson, Dennis Raoul |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 22nd, 2011 |
Last updated | May 25th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588931398 | NPPES |
California | Other | OPT8624 | OPT8624 |
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