DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. BRAD C RICHARDSON O.D.

MEDICARE:  DR. BRAD C RICHARDSON  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
1152W00000XOptometrist1942AT ACTIVEOR
2237700000XHearing Instrument SpecialistHAS-P-470158OR

General Provider Information

NPI Number : 1922009836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRAD C RICHARDSON O.D.
Provider Business Mailing Address
First Line : PO BOX 38
Second Line :
City : FOREST GROVE
State : OR
Zip : 97116-0038
Country : US
Telephone Number : 503-357-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2804 19TH AVE
Second Line :
City : FOREST GROVE
State : OR
Zip : 97116-2625
Country : US
Telephone Number : 503-357-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 01/11/2012

Similar Medicare Providers

1578877056 — ELI RICHARDSON O.D.
Practice Location Address:
2804 19TH AVE
FOREST GROVE, OR
97116-2625
Practice Phone: 503-357-2020
Practice Fax: 503-357-6995
1124332069 — FOREST GROVE FAMILY EYE CARE, P.C.
Practice Location Address:
2804 19TH AVE
FOREST GROVE, OR
97116-2625
Practice Phone: 503-357-2020
Practice Fax: 503-357-6995
1154691830 — FOREST GROVE MEDICAL PC
Practice Location Address:
2804 19TH AVE
FOREST GROVE, OR
97116-2625
Practice Phone: 503-357-2020
Practice Fax: 503-357-6995
1932839180 — DR. LEVI RICHARDSON OD
Practice Location Address:
2804 19TH AVE
FOREST GROVE, OR
97116-2625
Practice Phone: 503-357-2020
Practice Fax: 503-357-6995
1780305797 — RICHARDSON EYECARE PC
Practice Location Address:
2804 19TH AVE
FOREST GROVE, OR
97116-2625
Practice Phone: 503-357-2020
Practice Fax: 503-357-6995
1033262175 — DR. DAN R. BOTTORFF M.DIV.
Practice Location Address:
514 GROVE ST
WESTFIELD, NJ
07090-2625
Practice Phone: 908-233-0337
Practice Fax:

Directions to “ DR. BRAD C RICHARDSON O.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.