DR. Richard A Kidder, OPTOMETRIST

NPI #1629155924 in Lake Forest, California

Provider Information

NPI Number: 1629155924
Entity Type: Individual
Name: DR. Richard A Kidder, OPTOMETRIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OPTOMETRIST
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 23002 LAKE CENTER DR
City: Lake Forest
State: California
ZIP Code: 92630-6801
Phone: (949) 454-1064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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