Fred S Cloninger in Gastonia - Optometrist

Fred S Cloninger - NPI 1508965161

Fred S Cloninger is a Optometrist in Gastonia, North Carolina. Fred S Cloninger practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Fred S Cloninger is 1508965161. The last update date is 2008-10-02.

Fred S Cloninger's current location address is 406 S Broad St, Gastonia, North Carolina. You can contact this provider via phone number 7048653731 and fax number 7048645736. The mailing address for Fred S Cloninger is 406 S Broad St, Gastonia, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred S Cloninger
Address 406 S Broad St, Gastonia, North Carolina
Phone Number 7048653731
Fax Number 7048645736
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1508965161
Provider Enumeration Date 2006-09-21
Last Updated Date 2008-10-02

Provider Mailing Address Detail

Address 406 S Broad St
City Gastonia
State North Carolina (NC)
Post Code 280544304
Phone Number 7048653731
Fax Number 7048645736

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 804
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
410009765 NC RAILROAD MEDICARE
8909163 NC --

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FAQs about Fred S Cloninger

What is the unique identifier code issued to Fred S Cloninger by the Centers for Medicare & Medicaid Services (CMS)?

The Fred S Cloninger has been assigned the NPI (National Provider Identifier) 1508965161. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Fred S Cloninger is physically located?

The Fred S Cloninger is physically situated at the following address: 406 S Broad St, Gastonia, NC, 280544304.

What is Fred S Cloninger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Fred S Cloninger is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1508965161 to Fred S Cloninger?

The Centers for Medicare & Medicaid Services assigned the 1508965161 to Fred S Cloninger on 2006-09-21.

When was the information regarding Fred S Cloninger most recently updated?

The details pertaining to the Fred S Cloninger, including its address, specialty, and other relevant information, were last refreshed on 2008-10-02.

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