MR. Richard Lane Nutt, O.D.

NPI #1710964309 in Bolivar, Missouri

Provider Information

NPI Number: 1710964309
Entity Type: Individual
Name: MR. Richard Lane Nutt, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 27, 2005
Last Updated: Oct 26, 2020

Practice Location

Address: 1111 E CAMBRIDGE ST
City: Bolivar
State: Missouri
ZIP Code: 65613-3500
Phone: (417) 326-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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