Provider Demographics
NPI:1295893113
Name:RIEGLE, HAROLD LAMAR JR (OD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:LAMAR
Last Name:RIEGLE
Suffix:JR
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 1:543 E 30TH ST
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4329
Mailing Address - Country:US
Mailing Address - Phone:970-565-9024
Mailing Address - Fax:
Practice Address - Street 1:1835 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-3037
Practice Address - Country:US
Practice Address - Phone:970-565-9024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1040152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist