Basic Information
| Provider Information | |||||||||
| NPI: | 1649232158 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RICH | ||||||||
| FirstName: | DARREN | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 NEEDHAM ST | ||||||||
| Address2: | |||||||||
| City: | NEWTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024611615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6179646681 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 607A LOUIS DR | ||||||||
| Address2: | |||||||||
| City: | WARMINSTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189742832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156753005 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2006 | ||||||||
| LastUpdateDate: | 11/04/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OEG000204 | PA | Y | Eye and Vision Services Providers | Optometrist |
ID Information
| ID | Type | State | Issuer | Description | 229005 | 01 | PA | HEALTH AMERICA ID | OTHER | 3072812 | 01 | PA | AETNA ID | OTHER | 50003169 | 01 | PA | CAPITAL BLUE CROSS ID | OTHER | 50003169 | 01 | PA | KEYSTONE SENIOR BLUE ID | OTHER | 2109671000 | 01 | PA | AMERIHEALTH ID | OTHER | 001417656 | 01 | PA | HIGHMARK BLUE SHIELD ID | OTHER | 1417656 | 01 | PA | KEYSTONE YWH ID | OTHER | 2109671000 | 01 | PA | KEYSTONE EAST ID | OTHER |