Jerome Thaddeus Medley in Gretna - Optometrist
Jerome Thaddeus Medley - NPI 1396879086
Jerome Thaddeus Medley is a Optometrist in Gretna, Louisiana. Jerome Thaddeus Medley practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerome Thaddeus Medley is 1396879086. The last update date is 2007-07-08.
Jerome Thaddeus Medley's current location address is 120 Meadowcrest St, Gretna, Louisiana. You can contact this provider via phone number 5043917560 and fax number 5043942269. The mailing address for Jerome Thaddeus Medley is 120 Meadowcrest St, Gretna, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Thaddeus Medley |
|---|---|
| Address | 120 Meadowcrest St, Gretna, Louisiana |
| Phone Number | 5043917560 |
| Fax Number | 5043942269 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396879086 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 Meadowcrest St |
|---|---|
| City | Gretna |
| State | Louisiana (LA) |
| Post Code | 700565255 |
| Phone Number | 5043917560 |
| Fax Number | 5043942269 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 3145R |
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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 |
|---|---|---|---|
| 1121335 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerome Thaddeus Medley by the Centers for Medicare & Medicaid Services?
The Jerome Thaddeus Medley has been assigned the NPI (National Provider Identifier) 1396879086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jerome Thaddeus Medley is physically located?
The Jerome Thaddeus Medley is situated at the following address: 120 Meadowcrest St, Gretna, LA 700565255.
What is Jerome Thaddeus Medley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerome Thaddeus Medley's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When did Jerome Thaddeus Medley receive its 1396879086 assignment?
The Jerome Thaddeus Medley was assigned its 1396879086 on 2007-03-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jerome Thaddeus Medley most recently updated?
The details pertaining to the Jerome Thaddeus Medley, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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