Provider Demographics
NPI:1457687550
Name:RICHARD DO, PLLC
Entity Type:Organization
Organization Name:RICHARD DO, PLLC
Other - Org Name:RICHARD DO, O.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:206-383-4939
Mailing Address - Street 1:5631 S 150TH ST
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-7782
Mailing Address - Country:US
Mailing Address - Phone:206-383-4939
Mailing Address - Fax:
Practice Address - Street 1:16502 MERIDIAN E
Practice Address - Street 2:WAL-MART VISION CENTER
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-2515
Practice Address - Country:US
Practice Address - Phone:253-446-1760
Practice Address - Fax:253-446-1762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD.60113728152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty