Individual
DR. RICHARD BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3450 LONG BEACH RD, OCEANSIDE, NY 11572-5440
(516) 678-1616
(516) 764-2711
Mailing address
3450 LONG BEACH RD, OCEANSIDE, NY 11572-5440
(516) 678-1616
(516) 764-2711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV002830-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01164016
—
NY
Enumeration date
02/21/2007
Last updated
05/28/2009
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