Individual
DR. DEANNA P. RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41103
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041103
TUFTS PROVIDER NUMBER
MA
01
—
15608
HPHC PROVIDER NUMBER
MA
01
—
183229
US HEALTHCARE PROVIDER #
MA
05
—
2069733
—
MA
01
—
4524216
AETNA PROVIDER #
MA
01
—
562689
CIGNA PROVIDER NUMBER
MA
01
—
B11627
BC/BS PROVIDER NUMBER
MA
Enumeration date
11/22/2005
Last updated
04/26/2024
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