Jackie David Richmond, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

3010 Midwestern Parkway
Wichita Falls, TX 76308-2835

Phone

(940) 692-3754

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1871703314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 MIDWESTERN PARKWAY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082835",
            "telephone_number": "940-692-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 MIDWESTERN PARKWAY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082835",
            "telephone_number": "940-692-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "JACKIE",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L Kern Jr MD PLLC
• Martin Richards
• Jenell Lavon Richardson, LVN
• Ross Richardson
• Wynne Richardson
• Bobby Ray Riddick Jr.
• Beverly A. Ridgway, RN
• Joyce J Ritchie, M.D.
• Laura Ritchie, LPC
• Megan Alisha Ritchie

• Optician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.