Organization
RICHARDSON EYECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI RICHARDSON OD (PRESIDENT)
(801) 836-5629
Entity
Organization
Contact information
Practice address
2804 19TH AVE, FOREST GROVE, OR 97116-2625
(503) 357-2020
(503) 357-6995
Mailing address
2804 19TH AVE, FOREST GROVE, OR 97116-2625
(503) 357-2020
(503) 357-6995
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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