Douglas A Duerstock in Madison - Optometrist
Douglas A Duerstock - NPI 1871695577
Douglas A Duerstock is a Optometrist in Madison, Indiana. Douglas A Duerstock practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Douglas A Duerstock is 1871695577. The last update date is 2007-07-08.
Douglas A Duerstock's current location address is 567 Ivy Tech Dr, Madison, Indiana. You can contact this provider via phone number 8122736901 and fax number 8122653275. The mailing address for Douglas A Duerstock is 567 Ivy Tech Dr, Madison, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas A Duerstock |
|---|---|
| Address | 567 Ivy Tech Dr, Madison, Indiana |
| Phone Number | 8122736901 |
| Fax Number | 8122653275 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1871695577 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 567 Ivy Tech Dr |
|---|---|
| City | Madison |
| State | Indiana (IN) |
| Post Code | 472501802 |
| Phone Number | 8122736901 |
| Fax Number | 8122653275 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18002570B |
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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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What is the Douglas A Duerstock's unique identification number?
The Douglas A Duerstock has been assigned the NPI (National Provider Identifier) Number 1871695577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Douglas A Duerstock is located?
The Douglas A Duerstock is situated at the following address: 567 Ivy Tech Dr, Madison, IN, 472501802.
What is Douglas A Duerstock's area of expertise and its corresponding taxonomy classification?
The Douglas A Duerstock's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1871695577 to Douglas A Duerstock?
The Douglas A Duerstock received its 1871695577 assignment from the Centers for Medicare & Medicaid Services on 2006-09-02.
As of what date were the Douglas A Duerstock's details last updated?
The information pertaining to the Douglas A Duerstock, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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