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Organization

MICHAEL S RICHEY, OD PC

Active
Other names
Spearfish Eye Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL S RICHEY OD (OWNER)
(605) 642-8480
Entity
Organization

Contact information

Practice address
1710 NORTH AVE, SPEARFISH, SD 57783-1218
(605) 642-8480
(605) 642-8185
Mailing address
1710 NORTH AVE, SPEARFISH, SD 57783-1218
(605) 642-8480
(605) 642-8185

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
450
SD
152W00000X
Optometrist
502
SD
156FX1202X
Optometric Technician
332B00000X
Durable Medical Equipment & Medical Supplies
450
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102520100
GROUP NUMBER
WY
Enumeration date
06/06/2007
Last updated
10/20/2010
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