Individual
DAPHNE L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4220 MAGAZINE ST # A, NEW ORLEANS, LA 70115-2735
(504) 896-7661
(504) 896-7656
Mailing address
4220A MAGAZINE, NEW ORLEANS, LA 70115
(504) 896-7661
(504) 896-7656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1353-487T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145157
—
LA
01
—
4B271
MEDICARE PTAN
—
Enumeration date
07/26/2006
Last updated
10/17/2013
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