Individual
DR. JOHN EDWARD RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 BUSCH DR, JACKSONVILLE, FL 32218-5551
(904) 757-3886
(904) 757-9771
Mailing address
300 BUSCH DR, JACKSONVILLE, FL 32218-5551
(904) 757-3886
(904) 757-9771
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078775200
—
FL
Enumeration date
04/02/2008
Last updated
02/16/2014
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