Provider Demographics
NPI:1922141746
Name:LAPPEN, RICHARD D (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:LAPPEN
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 1:1821 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5518
Mailing Address - Country:US
Mailing Address - Phone:724-837-5350
Mailing Address - Fax:724-837-5352
Practice Address - Street 1:1821 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5518
Practice Address - Country:US
Practice Address - Phone:724-837-5350
Practice Address - Fax:724-837-5352
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE005666T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PALA119957OtherBCBS PERFORM ID
PALA1466628OtherBCBS PROVIDER ID NO
PAOE005666TOtherSTATE LICENSE NUMBER
PAPA95666OtherVBA ID NUMBER
PA0017464880002Medicaid
PA49828OtherDAVIS VISION ID NUMBER
PA016447OtherDORALUPMC ID NUMBER
PALA119957OtherBCBS PERFORM ID
PA49828OtherDAVIS VISION ID NUMBER