MEDICARE: DR. RICHARD M HOPE OD

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	OEG000063	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HO1732013	OTHER	PA	BS NUMBER

General Provider Information

NPI Number	:	1306838073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD M HOPE OD

Provider Business Mailing Address
First Line	:	925 E MAIN ST
Second Line	:
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-9546
Country	:	US
Telephone Number	:	717-653-5559
Fax Number	:	717-653-5598

Provider Business Practice Location Address
First Line	:	925 E MAIN ST
Second Line	:
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-9546
Country	:	US
Telephone Number	:	717-653-5559
Fax Number	:

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

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