Individual provider Active NPI

Richard Daniel Durocher, OD

  • Optometrist
  • Nashville, TN
National Provider Identifier
1073506408
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000001727 Issued in TN
Practice address
4322 Harding Pike
Ste 214
Nashville, TN 37205-2490
Phone
(615) 386-3036
Fax
(615) 386-6421
NPI assigned
Aug 31, 2005
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0000001727 TN Primary
Corneal and Contact Management Optometrist 152WC0802X OD0000001727 TN
Pediatric Optometrist 152WP0200X OD0000001727 TN
Vision Therapy Optometrist 152WV0400X OD0000001727 TN

Addresses

Primary practice location

4322 Harding Pike
Ste 214
Nashville, TN 37205-2490

Mailing address

4322 Harding Pike
Ste 214
Nashville, TN 37205-2490
Phone (615) 386-3036

Other identifiers 6

IdentifierTypeStateIssuer
0823169OtherTNCIGNA
4006662OtherTNBLUE CROSS BLUE SHIELD
3940585MedicaidTN
410045983OtherTNRAILROAD MEDICARE
2240532OtherTNUNITED HEALTHCARE
4247110001OtherTNPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000798 TN Practitioner - Optometry 6002979119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Politzer and Durocher PLCGroup PAC ID 0840379921, 6 clinicians

Practice addresses (Care Compare)

4322 Harding Pike
Suite 214
Nashville, TN 37205-2654
Phone (615) 386-3036

605 Main St N
Carthage, TN 37030-1211
Phone (615) 735-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0000001727TNMDPediatric Optometrist
1727TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Politzer and Durocher PLC Optometrist CurrentSince Sep 10, 2001 Accepting new patients

Locations

165 Indian Lake Blvd
Ste 108
Hendersonvlle, TN 37075
Phone (615) 822-0186

2684 Highway 52 W
Lafayette, TN 37083
Phone (615) 680-0560

1715 W Main St
Ste 100
Lebanon, TN 37087
Phone (615) 444-2359

4322 Harding Pike
Ste 214
Nashville, TN 37205
Phone (615) 386-3003

4525 Harding Pike
Ste 100
Nashville, TN 37205
Phone (615) 386-3036

Interoperability endpoints

  • Direct secure messaging: richard.durocher@uprisedirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1073506408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 HARDING PIKE",
            "address_2": "STE 214",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052490",
            "telephone_number": "615-386-3036",
            "fax_number": "615-386-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 HARDING PIKE",
            "address_2": "STE 214",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052490",
            "telephone_number": "615-386-3036",
            "fax_number": "615-386-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROCHER",
        "first_name": "RICHARD",
        "middle_name": "DANIEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000001727",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "OD0000001727",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TN",
            "license": "OD0000001727",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TN",
            "license": "OD0000001727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0823169",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4006662",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3940585",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045983",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2240532",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "4247110001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.