Richard Russell Rock in Vernon - Optometrist
Richard Russell Rock - NPI 1073652558
Richard Russell Rock is a Optometrist in Vernon, Connecticut. Richard Russell Rock practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Richard Russell Rock is 1073652558. The last update date is 2015-05-17.
Richard Russell Rock's current location address is 97 Irene Dr, Vernon, Connecticut. You can contact this provider via phone number 8608728717. The mailing address for Richard Russell Rock is 97 Irene Dr, Vernon, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Russell Rock |
|---|---|
| Address | 97 Irene Dr, Vernon, Connecticut |
| Phone Number | 8608728717 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1073652558 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2015-05-17 |
Provider Mailing Address Detail
| Address | 97 Irene Dr |
|---|---|
| City | Vernon |
| State | Connecticut (CT) |
| Post Code | 60664005 |
| Phone Number | 8608728717 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | CT0745 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 448993 | CT | CONNETICARE | |
| OXFORD | CT | P2751756 | |
| 2322856 | CT | AETNA |
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What is the unique identification code assigned to Richard Russell Rock by the Centers for Medicare & Medicaid Services?
The Richard Russell Rock has been issued the NPI (National Provider Identifier) 1073652558. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Richard Russell Rock is located?
The Richard Russell Rock is situated at the following address: 97 Irene Dr, Vernon, CT, 60664005.
What is the Richard Russell Rock's area of specialization and corresponding taxonomy classification?
The Richard Russell Rock's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Richard Russell Rock receive the assignment of its 1073652558 from the Centers for Medicare & Medicaid Services?
The Richard Russell Rock was issued its 1073652558 by the Centers for Medicare & Medicaid Services on 2007-02-05.
When was the information related to Richard Russell Rock most recently updated or refreshed?
The details pertaining to the Richard Russell Rock, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-17.
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