Individual
MR. RICHARD LEE KLINNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1207 OLD FAIRHAVEN PKWY, BELLINGHAM, WA 98225-7411
(360) 733-1190
(360) 734-1306
Mailing address
1207 OLD FAIRHAVEN PKWY, BELLINGHAM, WA 98225-7411
(360) 733-1190
(360) 734-1306
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025211
—
WA
01
—
4125KL
REGENCE
—
01
—
A003
TRICARE
—
Enumeration date
11/01/2006
Last updated
09/14/2009
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