Individual
DR. DONALD L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
246 POPLAR AVE, SUITE 1, SOMERSET, KY 42503-1701
(606) 679-5588
(606) 677-9394
Mailing address
246 POPLAR AVE, SUITE 1, SOMERSET, KY 42503-1701
(606) 679-5588
(606) 677-9394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
991DTKY
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77009918
—
KY
01
—
9213501
MEDICARE
KY
Enumeration date
10/11/2006
Last updated
05/26/2015
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