Richard Dean Grossnickle
Ophthalmologist
2615 Ne Loop 286
Paris
, Texas 75460-3444
Richard Dean Grossnickle
Ophthalmologist
2615 Ne Loop 286
Paris
, Texas 75460-3444
(903) 785-2947
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Richard Dean Grossnickle
- 2615 Ne Loop 286
- Paris, TX
- Zip : 75460-3444
- Fax : (903) 785-2947
- Phone : (906) 785-0083
Second Address
- Richard Dean Grossnickle
- 2615 Ne Loop 286
- Paris, TX
- Zip : 75460-3444
- Fax : (903) 785-2947
- Phone : (906) 785-0083
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | E6388 | TX |
National Provider Identifier
| NPI | 1003800079 |
|---|---|
| Provider Name | Richard Dean Grossnickle |
| First Address | Paris, TX 75460-3444 |
| Second Address | Paris, TX 75460-3444 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2005 |
| Last Update Date | 21/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00SC11 | BLUE CROSS BLUE SHIELD TX (01) | TX |
| 110097602 | (05) | TX |
| B23146 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.