Garard Melvin Gustafson in Milton - Optometrist

Garard Melvin Gustafson - NPI 1114919420

Garard Melvin Gustafson is a Optometrist in Milton, Washington. Garard Melvin Gustafson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Garard Melvin Gustafson is 1114919420. The last update date is 2008-05-08.

Garard Melvin Gustafson's current location address is 101 Milton Way, Milton, Washington. You can contact this provider via phone number 2539220333 and fax number 2539227322. The mailing address for Garard Melvin Gustafson is 101 Milton Way, Milton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Garard Melvin Gustafson
Address 101 Milton Way, Milton, Washington
Phone Number 2539220333
Fax Number 2539227322
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1114919420
Provider Enumeration Date 2005-08-22
Last Updated Date 2008-05-08

Provider Mailing Address Detail

Address 101 Milton Way
City Milton
State Washington (WA)
Post Code 983548800
Phone Number 2539220333
Fax Number 2539227322

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OD00000938
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
2343002 WA --

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FAQs about Garard Melvin Gustafson

What is the unique identifier code issued to Garard Melvin Gustafson by the Centers for Medicare & Medicaid Services?

The Garard Melvin Gustafson has been assigned the NPI (National Provider Identifier) 1114919420. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Garard Melvin Gustafson?

The Garard Melvin Gustafson is situated at 101 Milton Way, in the city of Milton, state of WA, with the zip code 983548800.

What is Garard Melvin Gustafson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Garard Melvin Gustafson is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1114919420 to Garard Melvin Gustafson?

The Garard Melvin Gustafson received its 1114919420 assignment from the Centers for Medicare & Medicaid Services on 2005-08-22.

As of what date were the details pertaining to Garard Melvin Gustafson last refreshed?

The information related to the Garard Melvin Gustafson, including its address, specialty, and other relevant details, was last updated on 2008-05-08.

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