Provider Demographics
NPI:1811031255
Name:MORISSA F. RICHMAN, O.D., LLC
Entity Type:Organization
Organization Name:MORISSA F. RICHMAN, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORISSA
Authorized Official - Middle Name:F
Authorized Official - Last Name:RICHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-706-1711
Mailing Address - Street 1:16840 S 36TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7989
Mailing Address - Country:US
Mailing Address - Phone:602-570-4362
Mailing Address - Fax:480-706-6282
Practice Address - Street 1:16840 S 36TH PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7989
Practice Address - Country:US
Practice Address - Phone:602-570-4362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ765152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty