Gordon Wesley Molenaar in Lansing - Optometrist

Gordon Wesley Molenaar - NPI 1528165669

Gordon Wesley Molenaar is a Optometrist in Lansing, Illinois. Gordon Wesley Molenaar practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gordon Wesley Molenaar is 1528165669. The last update date is 2007-07-08.

Gordon Wesley Molenaar's current location address is 3546 Ridge Road, Lansing, Illinois. You can contact this provider via phone number 7084740078 and fax number 7084740141. The mailing address for Gordon Wesley Molenaar is 3546 Ridge Road, Lansing, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon Wesley Molenaar
Address 3546 Ridge Road, Lansing, Illinois
Phone Number 7084740078
Fax Number 7084740141
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1528165669
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3546 Ridge Road
City Lansing
State Illinois (IL)
Post Code 60438
Phone Number 7084740078
Fax Number 7084740141

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 466097
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
224420001 IL DMERC
1684016 BLUE CROSS BLUE SHIELD IL

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FAQs about Gordon Wesley Molenaar

What is the unique identification code assigned to Gordon Wesley Molenaar by the Centers for Medicare & Medicaid Services?

The Gordon Wesley Molenaar has been issued the NPI (National Provider Identifier) 1528165669. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gordon Wesley Molenaar's facilities are geographically located?

The facilities of Gordon Wesley Molenaar are physically situated at the following location: 3546 Ridge Road, Lansing, IL, 60438.

What is Gordon Wesley Molenaar'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 Gordon Wesley Molenaar is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528165669 to Gordon Wesley Molenaar?

The Centers for Medicare & Medicaid Services originally issued the 1528165669 to Gordon Wesley Molenaar on 2006-09-20.

When was the information regarding Gordon Wesley Molenaar, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gordon Wesley Molenaar, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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