Individual
DR. RICHARD ERIC PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2001 E FOWLER AVE, TAMPA, FL 33612-5503
(813) 972-3465
Mailing address
11509 PERFECT PL, TAMPA, FL 33626-3364
(813) 383-3795
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3458
FL
Other
Enumeration date
04/25/2006
Last updated
09/21/2007
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