Individual
DR. TARA L RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1313 W HIGH ST, BRYAN, OH 43506-1545
(419) 636-1531
(419) 636-1025
Mailing address
1313 W HIGH ST, BRYAN, OH 43506-1545
(419) 636-1531
(419) 636-1025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4963/T1833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374452
—
OH
Enumeration date
07/15/2005
Last updated
03/13/2008
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