| Doctor Name: | DR. J. RICHARD RISHKO |
| NPI Number: | 1033185061 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 7040 TPL |
| Business Practice Address: | 6800 Owensmouth Ave Suite 400 Canoga Park, CA - 913033159 |
| Business Phone Number: | 8183405796 |
| Business Fax Number: | 8183404030 |
| Mailing Address: | 6800 Owensmouth Ave, Suite 400 CANOGA PARK |
| State: | CA |
| Postal Code: | 913033159 |
| Phone Number: | 8183405796 |
| Fax Number: | 8183404030 |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 01/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WV0400X |
| License Number: | 7040 TPL |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Vision Therapy |
| Taxonomy Definition: | Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |