Tanya M Gorder is a Optometrist in Green Bay, Wisconsin. Tanya M Gorder practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Tanya M Gorder is 1689693921. The last update date is 2007-07-08.
Tanya M Gorder's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700 and fax number 9204964705. The mailing address for Tanya M Gorder is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya M Gorder |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | 9204964705 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1689693921 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number | 9204964705 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2776 |
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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 |
|---|---|---|---|
| 38607500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tanya M Gorder by the Centers for Medicare & Medicaid Services?
The Tanya M Gorder has been issued the NPI (National Provider Identifier) 1689693921 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tanya M Gorder?
The Tanya M Gorder is physically situated at Po Box 19070, in the city of Green Bay, state of WI, with the postal code 543079070.
What is Tanya M Gorder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tanya M Gorder 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 1689693921 to Tanya M Gorder?
The Centers for Medicare & Medicaid Services assigned the 1689693921 to Tanya M Gorder on 2006-07-18.
When was the information pertaining to Tanya M Gorder most recently updated or revised?
The details related to Tanya M Gorder, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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