Richard Edward Liske
Individual provider Active NPI Optician · Quitman, TX
NPI 1992120752 · NPPES record last updated Mar 3, 2014
Key facts
- NPI
- 1992120752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- 2476 W State Highway 154
Quitman, TX 75783-5587 - Phone
- (903) 878-2451
- Fax
- (903) 878-2933
- NPI assigned
- Mar 3, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Optical, Inc | Optician | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Yes |
Addresses
Primary practice location
2476 W State Highway 154
Quitman, TX 75783-5587
Mailing address
2476 W State Highway 154
Quitman, TX 75783-5587
Phone (903) 878-2451
Other providers in Quitman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.