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
Phone: (530) 401-1063
Fax: (530) 653-2045
Website:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1588685044 | NPPES |
| California | MEDICAID | SD0055880 |
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