Provider Demographics
NPI:1922459395
Name:DURLACHER, ERICA (OD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:DURLACHER
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 1:10197 CAL RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3257
Mailing Address - Country:US
Mailing Address - Phone:225-933-5289
Mailing Address - Fax:
Practice Address - Street 1:257 LEE DR STE Q
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4977
Practice Address - Country:US
Practice Address - Phone:225-819-0120
Practice Address - Fax:225-293-1285
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1815-749AT152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist