Organization Active NPI

John S Richards MD PA

  • Optometrist
  • Plymouth, NH
National Provider Identifier
1285845669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOHN S RICHARDS MD PA
Practice address
607 Tenney Mountain Hwy
Suite 107
Plymouth, NH 03264-3156
Phone
(603) 536-1284
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John S Richards, MD, PANPI 1053377143
Title
Owner
Phone
(603) 536-1284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

607 Tenney Mountain Hwy
Suite 107
Plymouth, NH 03264-3156

Mailing address

607 Tenney Mountain Hwy
Suite 107
Plymouth, NH 03264-3156
Phone (603) 536-1284

Other identifiers 2

IdentifierTypeStateIssuer
0006956MedicaidVT
81186956MedicaidNH

National Provider Directory

National Provider Directory

Locations

607 Tenney Mountain Hwy
Ste 107
Plymouth, NH 03264
Phone (603) 536-1284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285845669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TENNEY MOUNTAIN HWY",
            "address_2": "SUITE 107",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643156",
            "telephone_number": "603-536-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 TENNEY MOUNTAIN HWY",
            "address_2": "SUITE 107",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643156",
            "telephone_number": "603-536-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S RICHARDS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-536-1284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006956",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81186956",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.