Provider Demographics
NPI:1407886963
Name:TALKINGTON, RICHARD LEE (OD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:LEE
Last Name:TALKINGTON
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:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03235-0159
Mailing Address - Country:US
Mailing Address - Phone:603-934-4155
Mailing Address - Fax:603-934-6626
Practice Address - Street 1:77 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-1603
Practice Address - Country:US
Practice Address - Phone:603-934-4155
Practice Address - Fax:603-934-6626
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH366152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80582935Medicaid
NH4800110001Medicare NSC