Durocher, Richard Daniel
Durocher, Richard Daniel is an sole proprietor health care provider with primary practice located at 4322 Harding Pike Ste 214, Nashville TN 37205-2490. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Durocher, Richard Daniel can be contacted via phone (615) 386-3036.Contact Information
Primary practice address
4322 Harding Pike Ste 214
Nashville TN 37205-2490
Phone: (615) 386-3036
Fax: (615) 386-6421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD0000001727 | Tennessee |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OD0000001727 | Tennessee |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OD0000001727 | Tennessee |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OD0000001727 | Tennessee |
Profile Details
| NPI number | 1073506408 |
|---|---|
| LBN Legal business name | Durocher, Richard Daniel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Dec 3rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073506408 | NPPES |
| Tennessee | MEDICAID | 3940585 | |
| Tennessee | Other | 0823169 | |
| Tennessee | Other | 2240532 | |
| Tennessee | Other | 4247110001 | |
| Tennessee | Other | 4006662 | |
| Tennessee | Other | 410045983 |
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