Gregory A Boomer in Susanville - Optometrist
Gregory A Boomer - NPI 1326110354
Gregory A Boomer is a Optometrist in Susanville, California. Gregory A Boomer practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gregory A Boomer is 1326110354. The last update date is 2008-06-05.
Gregory A Boomer's current location address is 607 A Cottage St, Susanville, California. You can contact this provider via phone number 5302574424 and fax number 5302579626. The mailing address for Gregory A Boomer is 607 A Cottage St, Susanville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory A Boomer |
|---|---|
| Address | 607 A Cottage St, Susanville, California |
| Phone Number | 5302574424 |
| Fax Number | 5302579626 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1326110354 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 607 A Cottage St |
|---|---|
| City | Susanville |
| State | California (CA) |
| Post Code | 961304303 |
| Phone Number | 5302574424 |
| Fax Number | 5302579626 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 6622T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Gregory A Boomer?
The Gregory A Boomer has been issued the NPI (National Provider Identifier) 1326110354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Gregory A Boomer is geographically located?
The Gregory A Boomer is physically situated at the following location: 607 A Cottage St, Susanville, CA, 961304303.
What is Gregory A Boomer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory A Boomer is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When did the Gregory A Boomer receive its 1326110354?
The Gregory A Boomer was issued its 1326110354 on 2006-11-14, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Gregory A Boomer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory A Boomer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-05.