Richardson, Ronald Wayne

Richardson, Ronald Wayne is an individual health care provider with primary practice located at 4000 N 10Th St Ste C , Mcallen TX 78504-3048. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Richardson, Ronald Wayne can be contacted via phone (956) 992-0983.

Contact Information

Primary practice address
4000 N 10Th St Ste C Mcallen TX 78504-3048
Phone: (956) 992-0983
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2000161497 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 046006567 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 7506TG Texas

Profile Details

NPI number 1568431047
LBN Legal business name Richardson, Ronald Wayne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated May 27th, 2021 - about 3 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 1568431047 NPPES
Illinois MEDICAID 046006567
Illinois MEDICAID 308640702

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