Richardson, Stephen M
Richardson, Stephen M is an sole proprietor health care provider with primary practice located at 430 Neal St , Cookeville TN 38501-0916. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Richardson, Stephen M can be contacted via phone (931) 528-6411.Contact Information
Primary practice address
430 Neal St
Cookeville TN 38501-0916
Phone: (931) 528-6411
Fax: (931) 372-0380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODT-1155 | Tennessee |
Profile Details
| NPI number | 1801895438 |
|---|---|
| LBN Legal business name | Richardson, Stephen M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Apr 5th, 2023 - about last year |
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 | 1801895438 | NPPES |
| Other | 0095470 | BCBS TN | |
| MEDICAID | 3596618 | BCBS TN |
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