Jerry Dale Warthman in Anderson - Optometrist
Jerry Dale Warthman - NPI 1063493906
Jerry Dale Warthman is a Optometrist in Anderson, Indiana. Jerry Dale Warthman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerry Dale Warthman is 1063493906. The last update date is 2010-04-28.
Jerry Dale Warthman's current location address is 1923 W 53rd St, Anderson, Indiana. You can contact this provider via phone number 7656440060 and fax number 7656440076. The mailing address for Jerry Dale Warthman is 1923 W 53rd St, Anderson, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Dale Warthman |
|---|---|
| Address | 1923 W 53rd St, Anderson, Indiana |
| Phone Number | 7656440060 |
| Fax Number | 7656440076 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1063493906 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2010-04-28 |
Provider Mailing Address Detail
| Address | 1923 W 53rd St |
|---|---|
| City | Anderson |
| State | Indiana (IN) |
| Post Code | 460131109 |
| Phone Number | 7656440060 |
| Fax Number | 7656440076 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18002286 A |
|
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 |
|---|---|---|---|
| 100331000B | IN | -- | |
| 200953040 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry Dale Warthman by the Centers for Medicare & Medicaid Services?
The Jerry Dale Warthman has been issued the NPI (National Provider Identifier) 1063493906, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerry Dale Warthman's physical address?
The Jerry Dale Warthman is physically located at 1923 W 53Rd St, in the city of Anderson, IN, with the postal code 460131109.
What is the Jerry Dale Warthman's area of specialization and corresponding taxonomy classification?
The Jerry Dale Warthman's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jerry Dale Warthman receive its 1063493906 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Dale Warthman was assigned its 1063493906 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date was the information pertaining to Jerry Dale Warthman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry Dale Warthman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-04-28.
NPI Number: 1598760647
Address: 4631 N Congress Ave Ste 101, West Palm Beach, FL