Individual
DR. MATTHEW SCOT RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
853 NE A ST, GRANTS PASS, OR 97526-2211
(541) 474-2788
(541) 474-0516
Mailing address
853 NE A ST, GRANTS PASS, OR 97526-2211
(541) 474-2788
(541) 474-0516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2980ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276057
—
OR
01
—
2980ATI
STATE LICENSE
OR
Enumeration date
09/01/2006
Last updated
03/07/2023
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