Provider Demographics
NPI:1043289382
Name:MCFEE, RICHARD KEITH (OD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KEITH
Last Name:MCFEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-2096
Mailing Address - Country:US
Mailing Address - Phone:740-423-9521
Mailing Address - Fax:740-423-6882
Practice Address - Street 1:1714 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-2096
Practice Address - Country:US
Practice Address - Phone:740-423-9521
Practice Address - Fax:740-423-6882
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5404152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2454151Medicaid
000000363222OtherBCBS ANTHEM
OHMC 4113752Medicare ID - Type Unspecified
OH2454151Medicaid