Provider Demographics
NPI:1124450986
Name:HO, RICHARD JOE (OD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:JOE
Last Name:HO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1776 BEACON ST
Mailing Address - Street 2:#4
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-2195
Mailing Address - Country:US
Mailing Address - Phone:626-823-7581
Mailing Address - Fax:
Practice Address - Street 1:31 SAINT JAMES AVE
Practice Address - Street 2:SUITE 135
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4101
Practice Address - Country:US
Practice Address - Phone:617-936-4027
Practice Address - Fax:627-936-4059
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG002833152W00000X
MA5022152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist