Provider Demographics
NPI:1780409342
Name:RICHARDS, DAVID A SR
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:RICHARDS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16818 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2419
Mailing Address - Country:US
Mailing Address - Phone:301-570-5701
Mailing Address - Fax:
Practice Address - Street 1:16818 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2419
Practice Address - Country:US
Practice Address - Phone:301-570-5701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician