Individual
DR. CHERIE RENEE ARCHAMBEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD2426
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420430001
DMERC PROVIDER NUMBER
TN
01
—
4084688
BCBS AND BLUECARE
TN
01
—
P00135659
RAILROAD MEDICARE
TN
Enumeration date
01/17/2006
Last updated
07/08/2007
Update your record
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