Individual
DR. RICHARD FOSTER MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
466 S TRIMBLE RD, MANSFIELD, OH 44906-3416
(419) 756-8000
(419) 756-7100
Mailing address
466 S TRIMBLE RD, MANSFIELD, OH 44906-3416
(419) 756-8000
(419) 756-7100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4862
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128145
ANTHEM BC/BS
OH
05
—
2017767
—
OH
01
—
2201089
UNITED HEALTHCARE
OH
01
—
341171920009
CIGNA
OH
01
—
410034803
RAIL ROAD MEDICARE
OH
01
—
5572538
AETNA
OH
Enumeration date
05/24/2006
Last updated
04/22/2021
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