Individual
RICHARD W REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 SW MAIN BLVD, LAKE CITY, FL 32025-1108
(386) 755-2785
(386) 755-1128
Mailing address
PO BOX 489, LAKE CITY, FL 32056-0489
(386) 755-2785
(386) 755-1128
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0055182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001933700
—
FL
05
—
061547100
—
FL
05
—
061547102
—
FL
01
—
1180560001
MEDICARE/DMERC
—
01
—
180015387
RAILROAD MEDICARE
—
01
—
297390
AVMED
FL
01
—
4099614
AETNA
FL
Enumeration date
07/01/2006
Last updated
03/21/2011
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