Active NPI
Dennis G Richter, OD
- Optometrist
- Lawrenceburg, IN
National Provider Identifier
1629116025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001692A
- Practice address
- 403 Walnut St
Lawrenceburg, IN 47025 - Phone
- (812) 537-2020
- Fax
- (812) 537-1157
- NPI assigned
- Feb 1, 2007
- Last updated
- Mar 6, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 18001692A | IN | Primary |
Addresses
Primary practice location
403 Walnut St
Lawrenceburg, IN 47025
Mailing address
PO Box 4145
Lawrenceburg, IN 47025-4145
Phone (812) 537-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100153120A | Medicaid | IN | |
| 0692 | Other | IN | HUMANA |
| 000000023045 | Other | IN | ANTHEM |
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": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1629116025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4145",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470254145",
"telephone_number": "812-537-2020",
"fax_number": "812-537-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 WALNUT ST",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "47025",
"telephone_number": "812-537-2020",
"fax_number": "812-537-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "DENNIS",
"middle_name": "G",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001692A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100153120A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "0692",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000023045",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.