# L DAVID RICHARDS JR OPTOMETRIC PHYSICIAN

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

## Provider details

- **NPI number:** 1548435167
- **Authorized official:** TERESA DAVIS (OFFICE MANAGER)
- **Authorized official phone:** (561) 742-1944

## Contact information

- **Practice address:** 2300 S CONGRESS AVE STE 102, BOYNTON BEACH, FL 33426-7400
- **Practice address phone:** (561) 742-1944
- **Mailing address:** 2300 S CONGRESS AVE STE 102, BOYNTON BEACH, FL 33426-7400
- **Mailing address phone:** (561) 742-1944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1247 | FL | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 08/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 084843300 | — | FL |
| 01 | — | K7231 | MEDICARE GROUP | FL |