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Individual

RICHARD N ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN0711
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2001861
BCBS
TN
05
3594571
TN
01
4643007
CIGNA
TN
Enumeration date
06/29/2006
Last updated
05/20/2008
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