MEDICARE: DR. RICHARD G. JOYCE O.D.

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
1	152W00000X	Optometrist	8752T	CA

General Provider Information

NPI Number	:	1689661167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD G. JOYCE O.D.

Provider Business Mailing Address
First Line	:	874 SOUTHAMPTON RD
Second Line	:
City	:	BENICIA
State	:	CA
Zip	:	94510-1907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	874 SOUTHAMPTON RD
Second Line	:
City	:	BENICIA
State	:	CA
Zip	:	94510-1907
Country	:	US
Telephone Number	:	707-745-6266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	03/07/2023

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