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Contact Information

RICHARD T DOTTERER JR, OD
410 GRAND VALLEY BLVD
MARTINSVILLE, IN46151
 Phone: 812-320-0636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RICHARD T DOTTERER JR · (Male)

NPI Number 1659447332
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/27/2006
Last updated 02/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 18001698B
  • IN Medicaid 100195280B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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