Individual
DR. CHARLES A RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17151 MAIN ST STE C, HESPERIA, CA 92345-6004
(760) 244-4904
(760) 244-7804
Mailing address
17151 MAIN ST STE C, HESPERIA, CA 92345-6004
(760) 244-4904
(760) 244-7804
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6330TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0063300
—
CA
Enumeration date
11/13/2006
Last updated
12/17/2014
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