Straker, Richard M

Straker, Richard M is an individual health care provider with primary practice located at 5823 Calhoun Memorial Hwy Suite 2-A, Easley SC 29640-3874. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Straker, Richard M can be contacted via phone (864) 855-6571.

Contact Information

Primary practice address
5823 Calhoun Memorial Hwy Suite 2-A Easley SC 29640-3874
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 492 South Carolina

Profile Details

NPI number 1255310207
LBN Legal business name Straker, Richard M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 19th, 2011 - about 13 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 1255310207 NPPES
South Carolina MEDICAID D04923

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