Jason Gospodarek is a Optometrist in Oneida, Wisconsin. Jason Gospodarek practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jason Gospodarek is 1821086455. The last update date is 2007-07-08.
Jason Gospodarek's current location address is Po Box 365, Oneida, Wisconsin. You can contact this provider via phone number 9208692711. The mailing address for Jason Gospodarek is Po Box 365, Oneida, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Gospodarek |
|---|---|
| Address | Po Box 365, Oneida, Wisconsin |
| Phone Number | 9208692711 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1821086455 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 365 |
|---|---|
| City | Oneida |
| State | Wisconsin (WI) |
| Post Code | 541550365 |
| Phone Number | 9208692711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2863-035 |
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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 |
|---|---|---|---|
| 721697 | WI | MANAGED HEALTH SERVICE | |
| 38614900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jason Gospodarek by the Centers for Medicare & Medicaid Services?
The Jason Gospodarek has been issued the NPI (National Provider Identifier) 1821086455, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jason Gospodarek is physically located?
The Jason Gospodarek is physically situated at the following address: Po Box 365, Oneida, WI, 541550365.
What is Jason Gospodarek's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Gospodarek is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
When was the Jason Gospodarek's 1821086455 issued?
The Jason Gospodarek's 1821086455 was issued on 2005-10-07.
When was the information regarding Jason Gospodarek most recently updated?
The details pertaining to the Jason Gospodarek, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.