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
Fax: (323) 296-1062
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588931398 NPPES
California Other OPT8624 OPT8624

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