Individual
DR. RICHARD HARVEY VANBUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
817 COURT ST, SUITE 10, JACKSON, CA 95642-2156
(209) 223-2020
(209) 223-2046
Mailing address
817 COURT ST, SUITE 10, JACKSON, CA 95642-2156
(209) 223-2020
(209) 223-2046
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
12013T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410048076
MEDICARE RAILROAD
CA
05
—
SD0120130
—
CA
Enumeration date
01/23/2006
Last updated
05/09/2008
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