Individual
DR. RICHARD TRACY CARRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2117 E GRAND RIV, LANSING, MI 48912-3231
(517) 485-2213
(517) 485-2220
Mailing address
PO BOX 208177, DALLAS, TX 75320-8177
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
RC002397
MI
152WC0802X
Corneal and Contact Management Optometrist
RC002397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C36539
BCBS OF MICHIGAN
MI
05
—
945060600
—
MI
Enumeration date
11/16/2005
Last updated
01/05/2023
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