Individual
DR. NICHOLAS THOMAS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9692 WOLFE RD, CALEDONIA, MS 39740-9223
(662) 241-9661
(662) 241-9663
Mailing address
PO BOX 418, CALEDONIA, MS 39740-0418
(662) 241-9661
(662) 241-9663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
871
MS
Other
Enumeration date
03/05/2013
Last updated
02/27/2024
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