Durocher, Richard Daniel

Durocher, Richard Daniel is an sole proprietor health care provider with primary practice located at 4322 Harding Pike Ste 214, Nashville TN 37205-2490. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Durocher, Richard Daniel can be contacted via phone (615) 386-3036.

Contact Information

Primary practice address
4322 Harding Pike Ste 214 Nashville TN 37205-2490
Fax: (615) 386-6421
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD0000001727 Tennessee
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OD0000001727 Tennessee
Eye and Vision Services Providers / Pediatrics 152WP0200X OD0000001727 Tennessee
Eye and Vision Services Providers / Vision Therapy 152WV0400X OD0000001727 Tennessee

Profile Details

NPI number 1073506408
LBN Legal business name Durocher, Richard Daniel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Dec 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073506408 NPPES
Tennessee MEDICAID 3940585
Tennessee Other 0823169
Tennessee Other 2240532
Tennessee Other 4247110001
Tennessee Other 4006662
Tennessee Other 410045983

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