Organization Active NPI

Politzer and Durocher PLC

  • Optometrist
  • Nashville, TN
National Provider Identifier
1396738720
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
POLITZER AND DUROCHER PLC
Practice address
4322 Harding Pike
Suite 214
Nashville, TN 37205-2490
Phone
(615) 386-3036
Fax
(615) 386-6421
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Dr. Richard Daniel Durocher, ODNPI 1073506408
Title
President/Owner
Phone
(615) 386-3036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TN Primary

Addresses

Primary practice location

4322 Harding Pike
Suite 214
Nashville, TN 37205-2490

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
4247110001OtherTNPALMETTO GBA
410048955OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000799 TN Part B Supplier - Clinic/Group Practice 0840379921 Receives reassigned benefits from 15 practitioners
Practice locations: Carthage, TN; Hartsville, TN; Hendersonville, TN; Lafayette, TN; Lebanon, TN; Nashville, TN; Portland, TN

National Provider Directory

National Provider Directory

Locations

605 Main St N
Carthage, TN 37030
Phone (615) 492-2145

715 McMurry Blvd E
Hartsville, TN 37074
Phone (615) 374-2296

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

313 E Main St
Ste 4
Hendersonvlle, TN 37075
Phone (615) 822-6157

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

229 W Gay St
Lebanon, TN 37087
Phone (615) 444-2359

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

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

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

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1396738720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 HARDING PIKE",
            "address_2": "SUITE 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": "SUITE 214",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052490",
            "telephone_number": "615-386-3036",
            "fax_number": "615-386-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLITZER AND DUROCHER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "DUROCHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "615-386-3036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "4247110001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410048955",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.