Provider Demographics
NPI:1649232158
Name:RICH, DARREN A (OD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:A
Last Name:RICH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 NEEDHAM ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1615
Mailing Address - Country:US
Mailing Address - Phone:617-964-6681
Mailing Address - Fax:
Practice Address - Street 1:607A LOUIS DR
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2832
Practice Address - Country:US
Practice Address - Phone:215-675-3005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000204152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA229005OtherHEALTH AMERICA ID
PA3072812OtherAETNA ID
PA50003169OtherCAPITAL BLUE CROSS ID
PA50003169OtherKEYSTONE SENIOR BLUE ID
PA2109671000OtherAMERIHEALTH ID
PA001417656OtherHIGHMARK BLUE SHIELD ID
PA1417656OtherKEYSTONE YWH ID
PA2109671000OtherKEYSTONE EAST ID
PA060295HD1Medicare ID - Type Unspecified
PA001417656OtherHIGHMARK BLUE SHIELD ID