Organization
DR RICHARD DOUGLAS OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD N DOUGLAS OD (OWNER)
(804) 748-6983
Entity
Organization
Contact information
Practice address
4705 BUCKINGHAM CT, SUITE A, CHESTER, VA 23831-4282
(804) 748-6983
Mailing address
4705 BUCKINGHAM CT, SUITE A, CHESTER, VA 23831-4282
(804) 748-6983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000742
VA
Other
Enumeration date
02/22/2007
Last updated
03/19/2008
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