Richardson, William Payne

Richardson, William Payne is an individual health care provider with primary practice located at 12185 Alta Mesa Dr , Auburn CA 95603-3577. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Richardson, William Payne can be contacted via phone (530) 401-1063.

Contact Information

Primary practice address
12185 Alta Mesa Dr Auburn CA 95603-3577
Fax: (530) 653-2045
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5588 California

Profile Details

NPI number 1588685044
LBN Legal business name Richardson, William Payne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Oct 3rd, 2013 - about 11 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 1588685044 NPPES
California MEDICAID SD0055880

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