Provider Demographics
NPI:1760470355
Name:HUTCHISON, RACHEL W (OD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:W
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8009 HAMILTON SPRING RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-4551
Mailing Address - Country:US
Mailing Address - Phone:301-469-8054
Mailing Address - Fax:301-469-7867
Practice Address - Street 1:7103 DEMOCRACY BLVD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1007
Practice Address - Country:US
Practice Address - Phone:301-469-4256
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1379152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T89055Medicare UPIN
HU894282Medicare ID - Type Unspecified