Robert Michael Durocher, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3760 Issued in TN

Practice address

1715 W Main St Ste 100
Lebanon, TN 37087-4944

Phone

(615) 457-8237

NPI assigned

Jul 7, 2022

Last updated

Jul 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2022

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Politzer and Durocher PLC

  • Optometrist
  • Nashville, TN
  • NPI 1396738720
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1699408575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332B WOODS ST",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382028",
            "telephone_number": "615-969-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W MAIN ST STE 100",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874944",
            "telephone_number": "615-457-8237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4322 Harding Pike Ste 214",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052654",
            "country_code": "US",
            "telephone_number": "615-551-4264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUROCHER",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank B Duchesne III, PT
• Lynn Raleigh Dunham
• Lisa A. Dunn, RN
• Leslie Durham, RNC APN
• Linda J Durham, DPH
• Kellye Dykes, CRNA
• Dynamic Therapy Center, LLC
• Kelsey Lynn Eakes
• Earl Dwayne Lett, PC
• Mary Rachel East, SLP-CCC

• Optometrist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.