Provider Demographics
NPI:1457487365
Name:RICHEY, INC
Entity Type:Organization
Organization Name:RICHEY, INC
Other - Org Name:RICHEY & CO. SHOES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED PEDORTHIST
Authorized Official - Phone:434-975-5434
Mailing Address - Street 1:1411 SACHEM PL UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2556
Mailing Address - Country:US
Mailing Address - Phone:434-975-5434
Mailing Address - Fax:434-975-0081
Practice Address - Street 1:701 MARINER ROW STE 110
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4452
Practice Address - Country:US
Practice Address - Phone:757-595-7373
Practice Address - Fax:757-595-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA809085332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1239660009Medicare NSC