Individual
DR. NICKLAUS JAMES RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1202 W MAPLE ST, WICHITA, KS 67213-3916
(316) 262-3716
(316) 262-0784
Mailing address
1202 W MAPLE ST, WICHITA, KS 67213-3916
(316) 262-3716
(316) 262-0784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1911
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200971550A
—
KS
Enumeration date
11/18/2011
Last updated
02/24/2017
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