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NPI Code Detail

MEDICARE: DR. RICHARD COOMBS ORGAIN O.D.

MEDICARE: DR. RICHARD COOMBS ORGAIN O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristT0661TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12240420OTHERTNUNITED HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32000262OTHERTNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1831197771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD COOMBS ORGAIN O.D.
Provider Business Mailing Address
First Line : 131 INDIAN LAKE RD
Second Line : SUITE 100
City : HENDERSONVILLE
State : TN
Zip : 37075-3866
Country : US
Telephone Number : 615-824-5486
Fax Number : 615-824-1770
Provider Business Practice Location Address
First Line : 131 INDIAN LAKE RD
Second Line : SUITE 100
City : HENDERSONVILLE
State : TN
Zip : 37075-3866
Country : US
Telephone Number : 615-824-5486
Fax Number : 615-824-1770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 11/07/2007

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