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Individual

DR. RICHARD RONALD GOLDSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1920 NORTHPOINT BLVD, SUITE 102, HIXSON, TN 37343
(423) 870-3939
(423) 877-0024
Mailing address
1920 NORTHPOINT BLVD, SUITE 102, HIXSON, TN 37343
(423) 870-3939
(423) 877-0024

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT642
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2009346
BLUE CROSS BLUE SHIELD
TN
01
2240056
UNITED HEALTHCARE
05
3593903
TN
Enumeration date
02/27/2006
Last updated
03/14/2013
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