Dr Richard Douglas OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000742 Issued in VA

Legal business name

DR RICHARD DOUGLAS OD PC

Practice address

4705 Buckingham CT
Suite a
Chester, VA 23831-4282

Phone

(804) 748-6983

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard N Douglas, ODNPI 1033105515

Title

Owner

Phone

(804) 748-6983

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Richard N Douglas, OD

  • Optometrist
  • Richmond, VA
  • NPI 1033105515
  Medicare reassignment NPD Authorized official
• Jill Esther Leisner, OD

  • Optometrist
  • Davie, FL
  • NPI 1972852366

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1578698668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 BUCKINGHAM CT",
            "address_2": "SUITE A",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314282",
            "telephone_number": "804-748-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 BUCKINGHAM CT",
            "address_2": "SUITE A",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314282",
            "telephone_number": "804-748-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD DOUGLAS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-748-6983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Tony Agapis DDS PC
• Akeeya Alexis Drew, LMHP-S
• Brenda Drew
• Christopher Bernard Drew Jr., PC
• Ashley Luebbers Driver, PA-C

• Optometrist in Chester, VA
• Providers in Chester, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.