John Phillip Gysin in Peoria - Optometrist
John Phillip Gysin - NPI 1598757304
John Phillip Gysin is a Optometrist in Peoria, Illinois. John Phillip Gysin practices all healthcare services and medical treatments related to Optometrist. The NPI Number for John Phillip Gysin is 1598757304. The last update date is 2009-10-28.
John Phillip Gysin's current location address is 5901 N Prospect Rd Ste 11, Peoria, Illinois. You can contact this provider via phone number 3096922525 and fax number 3096922584. The mailing address for John Phillip Gysin is 5901 N Prospect Rd Ste 11, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Phillip Gysin |
|---|---|
| Address | 5901 N Prospect Rd Ste 11, Peoria, Illinois |
| Phone Number | 3096922525 |
| Fax Number | 3096922584 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1598757304 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2009-10-28 |
Provider Mailing Address Detail
| Address | 5901 N Prospect Rd Ste 11 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144337 |
| Phone Number | 3096922525 |
| Fax Number | 3096922584 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46007961 |
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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 |
|---|---|---|---|
| 46007961 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Phillip Gysin by the Centers for Medicare & Medicaid Services (CMS)?
The John Phillip Gysin has been assigned the NPI (National Provider Identifier) 1598757304. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of John Phillip Gysin?
The John Phillip Gysin is physically situated at 5901 N Prospect Rd Ste 11, in the city of Peoria, state of IL, with the postal code 616144337.
What is John Phillip Gysin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Phillip Gysin is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598757304 to John Phillip Gysin?
The Centers for Medicare & Medicaid Services originally issued the 1598757304 to John Phillip Gysin on 2005-08-17.
As of what date were the John Phillip Gysin's details last updated?
The information pertaining to the John Phillip Gysin, including its address, specialty, and other details, was most recently updated on 2009-10-28.