DR. RICHARD DYKSTRA, OD

Optometrist

Active Individual
NPI: 1629151766

Practice Address

6956 W 111TH ST
Worth, IL 60482

Phone: (708) 361-1570

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 046 007176 (IL)

Frequently Asked Questions

NPI 1629151766 is the National Provider Identifier for DR. RICHARD DYKSTRA, OD, a Optometrist provider located in Worth, IL. This NPI was enumerated on October 23, 2006.
DR. RICHARD DYKSTRA, OD practices at 6956 W 111TH ST, Worth, IL 60482.

Quick Facts

NPI
1629151766
Type
Individual
Enumerated
Oct 23, 2006
Last Updated
Jul 20, 2010

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