Individual
DR. RICHARD J. SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1103 S CEDAR ST, MASON, MI 48854-2081
(517) 676-9350
(517) 676-8040
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003152
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C31249
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/11/2006
Last updated
01/14/2021
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