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Contact Information

RICHARD B MADDEN, OD
4076 NEELY ROAD
FORT WAINWRIGHT, AK99703
 Phone: 907-361-6028
 Fax: 907-361-4847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RICHARD B MADDEN · (Male)

NPI Number 1811904618
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/02/2006
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 1159
  • OK Medicaid 100761570A
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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