Provider Demographics
NPI:1790024636
Name:RICHARD E. SIMMONS, M.D., INC.
Entity Type:Organization
Organization Name:RICHARD E. SIMMONS, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:575-526-5367
Mailing Address - Street 1:933 HIGH ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4017
Mailing Address - Country:US
Mailing Address - Phone:575-526-5367
Mailing Address - Fax:575-526-5057
Practice Address - Street 1:1680 CALLE DE ALVAREZ
Practice Address - Street 2:SUITE D
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3821
Practice Address - Country:US
Practice Address - Phone:575-526-5367
Practice Address - Fax:575-526-5057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2006-0671207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty