Individual
DR. PATRICK N RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
932 S MERIDIAN ST, INDIANAPOLIS, IN 46225-1306
(317) 636-4448
(317) 636-4476
Mailing address
932 S MERIDIAN ST, INDIANAPOLIS, IN 46225-1306
(317) 636-4448
(317) 636-4476
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001585A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000364683
ANTHEM
IN
01
—
P00217424
PALMETTO GBA RR MEDICARE
IN
Enumeration date
09/28/2006
Last updated
09/18/2018
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