Richard Lee Shroder in Lebanon - Optometrist

Richard Lee Shroder - NPI 1609973122

Richard Lee Shroder is a Optometrist in Lebanon, Ohio. Richard Lee Shroder practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Richard Lee Shroder is 1609973122. The last update date is 2007-07-09.

Richard Lee Shroder's current location address is 899 N Broadway, Lebanon, Ohio. You can contact this provider via phone number 5139321976 and fax number 5139321976. The mailing address for Richard Lee Shroder is 899 N Broadway, Lebanon, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Lee Shroder
Address 899 N Broadway, Lebanon, Ohio
Phone Number 5139321976
Fax Number 5139321976
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1609973122
Provider Enumeration Date 2006-09-19
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 899 N Broadway
City Lebanon
State Ohio (OH)
Post Code 450361361
Phone Number 5139321976
Fax Number 5139321976

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2696T741
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3878 OH ANTHEM
249581 OH ANTHEM

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FAQs about Richard Lee Shroder

What is the unique provider identifier assigned to Richard Lee Shroder?

The Richard Lee Shroder has been issued the NPI (National Provider Identifier) 1609973122 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Richard Lee Shroder located?

The Richard Lee Shroder is located at 899 N Broadway, Lebanon, OH 450361361.

What is Richard Lee Shroder's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Lee Shroder's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did the Richard Lee Shroder receive its 1609973122 assignment from the Centers for Medicare & Medicaid Services?

The Richard Lee Shroder was assigned its 1609973122 by the Centers for Medicare & Medicaid Services on 2006-09-19.

As of what date was the information pertaining to Richard Lee Shroder, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Lee Shroder, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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