# RICHARD P KEVILLE OD & ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316154750
- **Authorized official:** DR. RICHARD P. KEVILLE O.D. (PRESIDENT)
- **Authorized official phone:** (941) 756-4108

## Contact information

- **Practice address:** 2911 53RD AVE E, BRADENTON, FL 34203-4312
- **Practice address phone:** (941) 758-5960
- **Mailing address:** 2901 50TH PL E, BRADENTON, FL 34203-3824
- **Mailing address phone:** (941) 756-4108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC002064 | FL | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 09/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 24537 | SPECTERA BRADENTON | FL |
| 01 | — | 26816 | MEDICAL EYE SERVICES | FL |
| 01 | — | 45306 | SPECTERA PALMETTO | FL |
| 01 | — | 47866 | DAVIS BRADENTON | FL |
| 01 | — | 53759 | DAVIS PALMETTO | FL |