Individual
DR. RICHARD H. BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 HAYWOOD RD STE 227, HAYWOOD MALL, GREENVILLE, SC 29607-6133
(864) 234-5350
(864) 234-5352
Mailing address
700 HAYWOOD RD STE 227, HAYWOOD MALL, GREENVILLE, SC 29607-6133
(864) 234-5350
(864) 234-5352
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
706
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC0706
EYEMED
SC
Enumeration date
08/30/2006
Last updated
12/27/2007
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