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NPI Code Detail

MEDICARE: DR. JEFFREY STEWART RICH O.D.

MEDICARE:  DR. JEFFREY STEWART RICH  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
1152W00000XOptometrist5751TCA

General Provider Information

NPI Number : 1295820785
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY STEWART RICH O.D.
Provider Business Mailing Address
First Line : 2154 CHESTNUT ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123
Country : US
Telephone Number : 415-921-1444
Fax Number : 415-921-0937
Provider Business Practice Location Address
First Line : 2154 CHESTNUT ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123
Country : US
Telephone Number : 415-921-1444
Fax Number : 415-921-0937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY STEWART RICH O.D.” Practice Location

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