Individual
DR. JAMES A. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2840 HIWAY 95, SUITE 108, BULLHEAD CITY, AZ 86442-7792
(928) 758-2020
(928) 758-4544
Mailing address
2840 HWY 95, SUITE 108, BULLHEAD CITY, AZ 86442-7792
(928) 758-2020
(928) 758-4544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154381879
NPI
AZ
01
—
1760692768
NPI
AZ
01
—
Z114997
PTAN
AZ
01
—
Z125427
PTAN
AZ
Enumeration date
03/25/2006
Last updated
11/25/2008
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