Provider Demographics
NPI:1114465291
Name:RICHARD L ISON OD PC
Entity Type:Organization
Organization Name:RICHARD L ISON OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:ISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-424-4200
Mailing Address - Street 1:120 E FM 544
Mailing Address - Street 2:SUITE 64
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4034
Mailing Address - Country:US
Mailing Address - Phone:972-424-4200
Mailing Address - Fax:972-424-1464
Practice Address - Street 1:120 E FM 544
Practice Address - Street 2:SUITE 64
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4034
Practice Address - Country:US
Practice Address - Phone:972-424-4200
Practice Address - Fax:972-424-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty