Organization
RICHLAND EYE CARE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M FLYNN O.D. (MANAGER)
(269) 629-2020
Entity
Organization
Contact information
Practice address
8085 N 32ND ST, RICHLAND, MI 49083-9650
(269) 629-2020
(269) 629-9873
Mailing address
8085 N 32ND ST, RICHLAND, MI 49083-9650
(269) 629-2020
(269) 629-9873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003815
MI
152W00000X
Optometrist
Primary
4901003819
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205320001
DMERC
MI
Enumeration date
02/11/2007
Last updated
07/30/2008
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