Provider Demographics
NPI:1780753566
Name:MURPHY, RICHARD M (OD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:MURPHY
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 1:4255 CARMICHAEL CT N
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2875
Mailing Address - Country:US
Mailing Address - Phone:334-277-9111
Mailing Address - Fax:334-270-9359
Practice Address - Street 1:4255 CARMICHAEL CT N
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2875
Practice Address - Country:US
Practice Address - Phone:334-277-9111
Practice Address - Fax:334-270-9359
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS560TA065152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL99196Medicaid
T69004Medicare UPIN
AL99196Medicaid