Organization
ALLEN C RICHMOND MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN CHARLES RICHMOND MD (PRESIDENT)
(215) 824-1717
Entity
Organization
Contact information
Practice address
3998 RED LION RD, STE 302, PHILA, PA 19114-1441
(215) 824-1717
(215) 281-0759
Mailing address
3998 RED LION RD, STE 302, PHILA, PA 19114-1441
(215) 824-1717
(215) 281-0759
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092542
HIGHMARK BLUE SHIELD
PA
01
—
2815959000
INDEPENDENCE BLUE CROSS/KEYSTONE/PERSONAL CHOICE
PA
Enumeration date
05/02/2008
Last updated
04/08/2009
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