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
Phone: (864) 855-6571
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255310207 | NPPES |
South Carolina | MEDICAID | D04923 |
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