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Individual

DR. RICHARD P THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6 WASHINGTON ST, SUITE C, SANFORD, ME 04073-3021
(207) 324-4010
(207) 324-4010
Mailing address
6 WASHINGTON ST, SUITE C, SANFORD, ME 04073-3021
(207) 324-4010
(207) 324-4010

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
596
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0316060001
DMERC
ME
01
080056485
RR MEDICARE ID
ME
Enumeration date
09/21/2005
Last updated
05/06/2008
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