Provider Demographics
NPI:1518921824
Name:HUNTER, RICHARD D (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:HUNTER
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 4286
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-0286
Mailing Address - Country:US
Mailing Address - Phone:717-540-0588
Mailing Address - Fax:818-301-2626
Practice Address - Street 1:698 SHREWSBURY COMMONS AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1617
Practice Address - Country:US
Practice Address - Phone:717-235-0788
Practice Address - Fax:717-235-0349
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001652152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6463-9901OtherCAREFIRST BCBS
PAHU1725178OtherHIGHMARK BLUESHIELD
K7020001OtherCAREFIRST BCBS (D.C)
PA51448OtherDAVIS VISION
PA7882679OtherAETNA
PA1012775320002Medicaid
PA2495622005OtherUNITED HEALTH CARE
PA8152462OtherCIGNA
PA51448OtherDAVIS VISION
PA1012775320002Medicaid