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General NPI Number Information
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NPI Number | 1164579710
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Entity Type | Individual
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Provider Name | JAMES P RICHARDS O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 27000 CROWN VALLEY PARKWAY
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City | MISSION VIEJO
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State | CA
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Zip | 92691
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Country | US
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Telephone | 714-364-6625
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Fax |
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Provider Business Mailing Address
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Address Line | 555 PAULARINO AVE R 101
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City | COSTA MESA
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State | CA
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Zip | 92626-3202
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Country | US
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Telephone | 949-364-6625
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Fax | 949-365-0936
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8118T
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License Number State | CA
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