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Organization

CHARLES A. RICHARDS, O.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES A. RICHARDS O.D. (OWNER)
(760) 244-4904
Entity
Organization

Contact information

Practice address
17151 MAIN ST STE C, HESPERIA, CA 92345-6191
(760) 244-4904
(760) 244-7804
Mailing address
17151 MAIN ST STE C, HESPERIA, CA 92345-6191
(760) 244-4904
(760) 244-7804

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6330TPL
CA

Other

Enumeration date
12/15/2009
Last updated
12/15/2009
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