Individual
MICHAEL C RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6190 N DAVIS HWY, PENSACOLA, FL 32504-6969
(850) 476-9236
(850) 476-9818
Mailing address
600 CONNELL DR, PENSACOLA, FL 32503-5017
(850) 476-9236
(850) 476-9818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5046
FL
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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