Provider Demographics
NPI:1316012727
Name:RICHARD COCHRANE, M.D., INC.
Entity Type:Organization
Organization Name:RICHARD COCHRANE, M.D., INC.
Other - Org Name:COCHRANE OPHTHALMOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:F
Authorized Official - Last Name:COCHRANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-533-4500
Mailing Address - Street 1:2981 OLIVE HWY
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6109
Mailing Address - Country:US
Mailing Address - Phone:530-533-4500
Mailing Address - Fax:530-533-5643
Practice Address - Street 1:2981 OLIVE HWY
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6109
Practice Address - Country:US
Practice Address - Phone:530-533-4500
Practice Address - Fax:530-533-5643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G386160OtherCOMMERCIAL INSURERS
CAGR0093230Medicaid
CAGR0093230Medicaid
CADA8251Medicare ID - Type UnspecifiedRAILROAD MEDICARE GROUP #
CAGR0093230Medicaid