Organization
LESLIE N RICHARDSON, O.D. PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE N RICHARDSON O.D. (OWNER/DOCTOR)
(270) 465-3669
Entity
Organization
Contact information
Practice address
725 CAMPBELLSVILLE BYP, CAMPBELLSVILLE, KY 42718-8846
(270) 465-3669
(270) 465-3579
Mailing address
725 CAMPBELLSVILLE BYP, CAMPBELLSVILLE, KY 42718-8846
(270) 465-3669
(270) 465-3579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0851DT
KY
Other
Enumeration date
08/28/2008
Last updated
10/19/2010
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