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NPI Code Detail

MEDICARE: RICHARD REDFIELD, OD PC

MEDICARE: RICHARD REDFIELD, OD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3211TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316230717
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD REDFIELD, OD PC
Provider Business Mailing Address
First Line : 12122 GULF FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77034-4502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12122 GULF FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77034-4502
Country : US
Telephone Number : 713-944-3826
Fax Number : 713-944-6542
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD REDFIELD
Credential :
Telephone Number : 713-944-3826
Provider Enumeration Date : 05/18/2011
Last Update Date : 10/11/2011

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