Provider Demographics
NPI:1225214521
Name:RHK INC
Entity Type:Organization
Organization Name:RHK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:HERMAN
Authorized Official - Last Name:KIMMICH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:706-310-5050
Mailing Address - Street 1:1011 STONEBRIDGE PKWY
Mailing Address - Street 2:SUITE106
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-6011
Mailing Address - Country:US
Mailing Address - Phone:706-310-5050
Mailing Address - Fax:706-310-5053
Practice Address - Street 1:1011 STONEBRIDGE PKWY
Practice Address - Street 2:SUITE106
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-6011
Practice Address - Country:US
Practice Address - Phone:706-310-5050
Practice Address - Fax:706-310-5053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT000930152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000248278CMedicaid
GA000248278CMedicaid
T86996Medicare UPIN