Victor A Richardson OD

NPI 1710973912 - Optometrist - 152W00000X

NPI Details
NPI 1710973912
Gender Male
Enumeration Date 09/22/2005
Last Updated 02/23/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1449 OLD WATERBURY RD
SUITE 304
SOUTHBURY CT, 06488-3926, US
Phone (203) 267-2020
Fax (230) 267-2021
Business Location
1449 OLD WATERBURY RD
SUITE 304
SOUTHBURY CT, 06488-3926, US
Phone (203) 267-2020
Fax (230) 267-2021
Toxanomy
Taxonomy Code 152W00000X
License State Connecticut
License Number 002076
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According to our database, Dr. Victor A Richardson OD NPI is 1710973912, taxonomy code is 152W00000X and license number is 002076, license state is located at Connecticut. Victor A Richardson OD physically located at 1449 Old Waterbury Rd, Southbury CT, 06488-3926. NPI Number Victor A Richardson OD has the Individual type.

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1710973912 NPI number is provided on an as is basis without warranty of any kind. 1710973912 is maintained by the National Plan & Provider Enumeration System. The contents of Victor A Richardson OD are for informational purposes only.