Provider Demographics
NPI:1538131792
Name:EDDINGTON, RICHARD GENE (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:GENE
Last Name:EDDINGTON
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 1:6130 BARNES RD STE 128
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2601
Mailing Address - Country:US
Mailing Address - Phone:719-550-4234
Mailing Address - Fax:719-570-6055
Practice Address - Street 1:6130 BARNES RD STE 128
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2601
Practice Address - Country:US
Practice Address - Phone:719-550-4234
Practice Address - Fax:719-570-6055
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9236152W00000X
CO2786152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist