Provider Demographics
NPI:1508636507
Name:ACUITY RETAIL RICHARDS, LLC
Entity Type:Organization
Organization Name:ACUITY RETAIL RICHARDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-215-7849
Mailing Address - Street 1:6038 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-7412
Mailing Address - Country:US
Mailing Address - Phone:918-492-6087
Mailing Address - Fax:
Practice Address - Street 1:6038 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7412
Practice Address - Country:US
Practice Address - Phone:918-492-6087
Practice Address - Fax:918-492-1183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACUITY RETAIL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty