Individual
RICHARD KENNETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
29665 BURTONS SHORE RD, 0072, LOCUSTVILLE, VA 23404-0072
(848) 404-8329
Mailing address
29665 BURTONS SHORE RD, 0072, LOCUSTVILLE, VA 23404-0072
(848) 404-8329
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004497
VA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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