Gary W Lasken Od Llc in Peoria - Optometrist
Gary W Lasken Od Llc - NPI 1659391175
Gary W Lasken Od Llc is a Optometrist in Peoria, Illinois. Gary W Lasken Od Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gary W Lasken Od Llc is 1659391175. The last update date is 2011-05-17.
Gary W Lasken Od Llc's current location address is 7815 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096925500 and fax number 3096925508. The mailing address for Gary W Lasken Od Llc is 7815 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Gary W Lasken Od Llc |
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Address | 7815 N Knoxville Ave, Peoria, Illinois |
Phone Number | 3096925500 |
Fax Number | 3096925508 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/OPTO |
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Authorized Official Name | Lasken W Gary |
Credentials | O.D. |
Telephone Number | 3096925500 |
NPI Number Detail
NPI Number | 1659391175 |
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Provider Enumeration Date | 2006-07-20 |
Last Updated Date | 2011-05-17 |
Provider Mailing Address Detail
Address | 7815 N Knoxville Ave |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616142078 |
Phone Number | 3096925500 |
Fax Number | 3096925508 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
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 |
---|---|---|---|
IL4516 | IL | ORGANIZATION PTAN |
Post Comment/ Review Below
What is the Gary W Lasken Od Llc's 1659391175?
The Gary W Lasken Od Llc's NPI (National Provider Identifier) Number is 1659391175. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary W Lasken Od Llc?
The Gary W Lasken Od Llc is situated at 7815 N Knoxville Ave, in the city of Peoria, state of IL, with the zip code 616142078.
What is Gary W Lasken Od Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary W Lasken Od Llc's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659391175 to Gary W Lasken Od Llc?
The Centers for Medicare & Medicaid Services originally issued the 1659391175 to Gary W Lasken Od Llc on 2006-07-20.
As of what date were the details pertaining to Gary W Lasken Od Llc last refreshed?
The information related to the Gary W Lasken Od Llc, including its address, specialty, and other relevant details, was last updated on 2011-05-17.