Individual
DR. RICHARD LEE SHRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
899 N BROADWAY, LEBANON, OH 45036-1361
(513) 932-1976
(513) 932-1976
Mailing address
899 N BROADWAY, LEBANON, OH 45036-1361
(513) 932-1976
(513) 932-1976
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2696T741
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003878
ANTHEM
OH
01
—
000000249581
ANTHEM
OH
Enumeration date
09/19/2006
Last updated
07/09/2007
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