Gloria Jean Docherty in Oak Forest - Optometrist
Gloria Jean Docherty - NPI 1083704282
Gloria Jean Docherty is a Optometrist in Oak Forest, Illinois. Gloria Jean Docherty practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gloria Jean Docherty is 1083704282. The last update date is 2008-02-25.
Gloria Jean Docherty's current location address is 6504 Charleston St, Oak Forest, Illinois. You can contact this provider via phone number 7086872522. The mailing address for Gloria Jean Docherty is 6504 Charleston St, Oak Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gloria Jean Docherty |
|---|---|
| Address | 6504 Charleston St, Oak Forest, Illinois |
| Phone Number | 7086872522 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1083704282 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 6504 Charleston St |
|---|---|
| City | Oak Forest |
| State | Illinois (IL) |
| Post Code | 604522623 |
| Phone Number | 7086872522 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 920080001 | IL | MEDICARE DME | |
| 40018663 | IL | BCBS |
Post Comment/ Review Below
What is the Gloria Jean Docherty's unique identification number?
The Gloria Jean Docherty has been assigned the NPI (National Provider Identifier) Number 1083704282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Gloria Jean Docherty's facilities are situated?
The facilities of Gloria Jean Docherty are physically located at the following address: 6504 Charleston St, Oak Forest, IL, 604522623.
What is Gloria Jean Docherty's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gloria Jean Docherty's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083704282 to Gloria Jean Docherty?
The Centers for Medicare & Medicaid Services originally issued the 1083704282 to Gloria Jean Docherty on 2006-10-16.
As of what date were the Gloria Jean Docherty's details last updated?
The information pertaining to the Gloria Jean Docherty, including its address, specialty, and other details, was most recently updated on 2008-02-25.