Provider Demographics
NPI:1336124445
Name:RICHMAN, HARVEY B (OD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:B
Last Name:RICHMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3544
Mailing Address - Country:US
Mailing Address - Phone:732-223-0202
Mailing Address - Fax:732-223-0490
Practice Address - Street 1:161 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3544
Practice Address - Country:US
Practice Address - Phone:732-223-0202
Practice Address - Fax:732-223-0490
Is Sole Proprietor?:No
Enumeration Date:2005-12-12
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA0005114152W00000X
NJOA5114152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU19184Medicare UPIN