Organization
BRETT P RICHARDSON OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT P RICHARDSON OD (OWNER)
(360) 991-9548
Entity
Organization
Contact information
Practice address
1120 W PIONEER BLVD, MESQUITE, NV 89027
(360) 991-9548
Mailing address
31 W BROOKHAVEN DR, WASHINGTON, UT 84780-5004
(360) 991-9548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
918
NV
Other
Enumeration date
05/15/2014
Last updated
11/11/2020
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