Individual
RICHARD DANIEL DUROCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000001727
TN
152WC0802X
Corneal and Contact Management Optometrist
OD0000001727
TN
152WP0200X
Pediatric Optometrist
OD0000001727
TN
152WV0400X
Vision Therapy Optometrist
OD0000001727
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0823169
CIGNA
TN
01
—
2240532
UNITED HEALTHCARE
TN
05
—
3940585
—
TN
01
—
4006662
BLUE CROSS BLUE SHIELD
TN
01
—
410045983
RAILROAD MEDICARE
TN
01
—
4247110001
PALMETTO GBA
TN
Enumeration date
08/31/2005
Last updated
12/03/2012
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