Diedra L Richardson


Address: 5128 Lapalco Blvd H, Marrero, LA 70072-4250
Phone: 5043479988

Diedra L Richardson (NPI# 1538248190, PAC ID# 9234328758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1538248190
PAC ID by PECOS 9234328758
Professional Enrollment ID I20110113000678
Full Name Diedra L Richardson
Address 5128 Lapalco Blvd H
Marrero
LA 70072-4250
Phone Number 5043479988
Gender F
Medical School UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduation Year 1991
Primary Specialty OPTOMETRY
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
5128 Lapalco Blvd H, Marrero, LA 70072-4250 5043479988

Organization Information

Office Location

Street Address 5128 LAPALCO BLVD H
City MARRERO
State LA
Zip 70072-4250

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Competitor

Search similar physicians

City MARRERO
Zip Code 70072
Specialty OPTOMETRY
City + Specialty MARRERO + OPTOMETRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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