Jonathan Alan Gudeman in Salem - Optometrist

Jonathan Alan Gudeman - NPI 1760477228

Jonathan Alan Gudeman is a Optometrist in Salem, Virginia. Jonathan Alan Gudeman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jonathan Alan Gudeman is 1760477228. The last update date is 2011-09-26.

Jonathan Alan Gudeman's current location address is 101 W 4th St, Salem, Virginia. You can contact this provider via phone number 5403871183. The mailing address for Jonathan Alan Gudeman is 101 W 4th St, Salem, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Alan Gudeman
Address 101 W 4th St, Salem, Virginia
Phone Number 5403871183
Fax Number
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1760477228
Provider Enumeration Date 2005-09-12
Last Updated Date 2011-09-26

Provider Mailing Address Detail

Address 101 W 4th St
City Salem
State Virginia (VA)
Post Code 241533638
Phone Number 5403871183
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 618000618
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
461361 VA ANTHEM
410049826 VA PALMETTO GBA
9237216 VA --
4715110001 VA ADMINISTAR FEDERAL

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FAQs about Jonathan Alan Gudeman

What is the unique 10-digit identification code issued to Jonathan Alan Gudeman by the Centers for Medicare & Medicaid Services?

The Jonathan Alan Gudeman has been assigned the NPI (National Provider Identifier) 1760477228 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 physical address where Jonathan Alan Gudeman is located?

The Jonathan Alan Gudeman is situated at the following address: 101 W 4Th St, Salem, VA, 241533638.

What is the Jonathan Alan Gudeman's specialty and taxonomy code?

The Jonathan Alan Gudeman's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

When did Jonathan Alan Gudeman receive its 1760477228 assignment?

The Jonathan Alan Gudeman was assigned its 1760477228 on 2005-09-12, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Jonathan Alan Gudeman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jonathan Alan Gudeman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-26.

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