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NPI Code Detail

MEDICARE: DR. RICHARD FRANK BUTZ O.D.

MEDICARE: DR. RICHARD FRANK BUTZ 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
1152W00000XOptometrist46-7682IL

General Provider Information

NPI Number : 1710076245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD FRANK BUTZ O.D.
Provider Business Mailing Address
First Line : 1112 S WASHINGTON ST
Second Line : SUITE 201
City : NAPERVILLE
State : IL
Zip : 60540-7959
Country : US
Telephone Number : 630-355-6878
Fax Number : 630-355-0043
Provider Business Practice Location Address
First Line : 1112 S WASHINGTON ST
Second Line : SUITE 201
City : NAPERVILLE
State : IL
Zip : 60540-7959
Country : US
Telephone Number : 630-355-6878
Fax Number : 630-355-0043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD FRANK BUTZ O.D.” Practice Location

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