Individual
CHARLES DUANE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
3750 W MARKET ST, FAIRLAWN, OH 44333-4804
(330) 665-4268
(330) 666-8922
Mailing address
3750 W MARKET ST UNIT I, FAIRLAWN, OH 44333-2474
(330) 665-4268
(330) 666-8922
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP017202S
OH
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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