Richardson, Donald L
Richardson, Donald L is an sole proprietor health care provider with primary practice located at 246 Poplar Ave Suite 1, Somerset KY 42503-1701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Richardson, Donald L can be contacted via phone (606) 679-5588.Contact Information
Primary practice address
246 Poplar Ave Suite 1
Somerset KY 42503-1701
Phone: (606) 679-5588
Fax: (606) 677-9394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 991DTKY | Kentucky |
Profile Details
| NPI number | 1003904004 |
|---|---|
| LBN Legal business name | Richardson, Donald L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | May 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003904004 | NPPES |
| Kentucky | Other | 9213501 | MEDICARE |
| Kentucky | MEDICAID | 77009918 | MEDICARE |
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