John Edward Richardson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2384 Issued in FL

Practice address

300 Busch Dr
Jacksonville, FL 32218-5551

Phone

(904) 757-3886

Fax

(904) 757-9771

NPI assigned

Apr 2, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jay Crump OD PA

  • Optometrist
  • Bradenton, FL
  • NPI 1255448536
  NPD (past)
• Optometric Associates of Florida, P.a.

  • Optometrist
  • Largo, FL
  • NPI 1346316676
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392508800000",
    "number": "1174795801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BUSCH DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185551",
            "telephone_number": "904-757-3886",
            "fax_number": "904-757-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BUSCH DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185551",
            "telephone_number": "904-757-3886",
            "fax_number": "904-757-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2014-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078775200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ceddeth Richardson, MOTR/L
• Ciera Leshay Richardson, CNA
• Darrick L Richardson, NONE
• Dennis Alphonso Richardson
• Jayla Nykeria Richardson
• Julia Richardson
• Kallyn Richardson
• Larry Tyrone Richardson, PH.D., LMHC
• Lisa M Richardson, APRN
• Mary Magdalene Richardson

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.