Healthcare Provider Details

I. General information

NPI: 1629428701
Provider Name (Legal Business Name): ALYSE RICHARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 FAUNCE CORNER RD
NORTH DARTMOUTH MA
02747-1278
US

IV. Provider business mailing address

500 FAUNCE CORNER RD
NORTH DARTMOUTH MA
02747-1278
US

V. Phone/Fax

Practice location:
  • Phone: 508-717-0270
  • Fax: 508-995-3060
Mailing address:
  • Phone: 508-717-0270
  • Fax: 508-995-3060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number282304
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number282304
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: