Dr. Marguerite Richardson, OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3224-035 Issued in WI

Legal business name

DR. MARGUERITE RICHARDSON, OD, LLC

Practice address

5600 Durand Ave
Racine, WI 53406-5053

Phone

(262) 554-5711

Fax

(262) 554-9603

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marguerite Richardson, OD

Title

Owner/Optometrist

Phone

(262) 880-4733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1285079673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 WOODLAND TRL",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531773058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 DURAND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065053",
            "telephone_number": "262-554-5711",
            "fax_number": "262-554-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARGUERITE RICHARDSON, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "262-880-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3224-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Doerr
• Meaghan Kaitlin Doherty, M.D.
• Lisa S. Dolgin, MSE, NCC, LPC
• Donald M. Jacobson, MD SC
• Monica Doyle
• Ashley Drab
• Alexander Charles Drake, DPT
• Darrin Alan Dreger, PTA
• Steven E Drenning
• DRS Decheck and Mataczynski MD SC

• Optometrist in Racine, WI
• Providers in Racine, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.