Charles a. Richards, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6330TPL Issued in CA

Legal business name

CHARLES A. RICHARDS, O.D.

Practice address

17151 Main St Ste C
Hesperia, CA 92345-6191

Phone

(760) 244-4904

Fax

(760) 244-7804

NPI assigned

Dec 15, 2009

Last updated

Dec 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles A. Richards, O.D.NPI 1679644124

Title

Owner

Phone

(760) 244-4904

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles A Richards, O.D.

  • Optometrist
  • Hesperia, CA
  • NPI 1679644124
  Authorized official Same address or phone

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1598094971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17151 MAIN ST STE C",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456191",
            "telephone_number": "760-244-4904",
            "fax_number": "760-244-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17151 MAIN ST STE C",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456191",
            "telephone_number": "760-244-4904",
            "fax_number": "760-244-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. RICHARDS, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-244-4904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6330TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.