Active NPI
John William Richards, OD
- Optometrist
- Liberty, MO
National Provider Identifier
1376654079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02110
- Practice address
- 42 Westwoods Dr
Liberty, MO 64068 - Phone
- (816) 781-0500
- Fax
- (816) 781-0500
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02110 | MO | Primary |
Addresses
Primary practice location
42 Westwoods Dr
Liberty, MO 64068
Mailing address
42 Westwoods Dr
Liberty, MO 64068
Phone (816) 781-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1376654079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WESTWOODS DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "64068",
"telephone_number": "816-781-0500",
"fax_number": "816-781-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WESTWOODS DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "64068",
"telephone_number": "816-781-0500",
"fax_number": "816-781-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.