Gerald R Starchvick in Jacksonville - Sports Vision
Gerald R Starchvick - NPI 1972508596
Gerald R Starchvick is a Sports Vision in Jacksonville, Oregon. Gerald R Starchvick practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Gerald R Starchvick is 1972508596. The last update date is 2008-01-10.
Gerald R Starchvick's current location address is 600 Powderhorn Dr, Jacksonville, Oregon. You can contact this provider via phone number 5417791392 and fax number 5417796531. The mailing address for Gerald R Starchvick is 600 Powderhorn Dr, Jacksonville, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald R Starchvick |
|---|---|
| Address | 600 Powderhorn Dr, Jacksonville, Oregon |
| Phone Number | 5417791392 |
| Fax Number | 5417796531 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1972508596 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
| Address | 600 Powderhorn Dr |
|---|---|
| City | Jacksonville |
| State | Oregon (OR) |
| Post Code | 9753094200 |
| Phone Number | 5417791392 |
| Fax Number | 5417796531 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 1563T |
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Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 212666 | OR | EYEMED | |
| 119268 | OR | -- |
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What is the unique 10-digit identifier code assigned to Gerald R Starchvick by the Centers for Medicare & Medicaid Services?
The Gerald R Starchvick has been issued the NPI (National Provider Identifier) 1972508596 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 Gerald R Starchvick?
The Gerald R Starchvick is physically situated at 600 Powderhorn Dr, in the city of Jacksonville, state of OR, with the postal code 9753094200.
What is Gerald R Starchvick's area of expertise and its corresponding taxonomy classification?
The Gerald R Starchvick's field of specialization is Sports Vision, and it falls under the taxonomy code 152Ws0006X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1972508596 to Gerald R Starchvick?
The Gerald R Starchvick received its 1972508596 assignment from the Centers for Medicare & Medicaid Services on 2005-06-20.
When was the information pertaining to Gerald R Starchvick most recently updated or revised?
The details related to Gerald R Starchvick, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-10.
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