Organization
RICHARDSON VISION CENTER
Active
Parent organization
TED M RICHARDSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
TED M RICHARDSON
Authorized official
TED RICHARDSON (OWNER)
(859) 278-4201
Entity
Organization
Contact information
Practice address
1757 ALEXANDRIA DR, LEXINGTON, KY 40504-3111
(859) 278-4201
Mailing address
1757 ALEXANDRIA DR, LEXINGTON, KY 40504-3111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7790166800
—
KY
Enumeration date
03/22/2007
Last updated
05/16/2008
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