Individual
DR. RICHARD A PERROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15 NE 5TH ST, GRAND RAPIDS, MN 55744-2601
(218) 327-1148
(218) 327-0386
Mailing address
15 NE 5TH ST, GRAND RAPIDS, MN 55744-2601
(218) 327-1148
(218) 327-0386
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1638
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-00208
MEDICA
MN
01
—
70514PE
BLUE CROSS BLUE SHIELD
MN
01
—
983831011287
PREFERRED ONE
MN
Enumeration date
10/20/2006
Last updated
07/08/2007
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