Bruce D. Gaynor, M.D., Medical Corporation in Santa Rosa - Ophthalmic

Bruce D. Gaynor, M.D., Medical Corporation - NPI 1548334006

Bruce D. Gaynor, M.D., Medical Corporation is a Ophthalmic in Santa Rosa, California. Bruce D. Gaynor, M.D., Medical Corporation practices all healthcare services and medical treatments related to Ophthalmic. The NPI Number for Bruce D. Gaynor, M.D., Medical Corporation is 1548334006. The last update date is 2008-06-17.

Bruce D. Gaynor, M.D., Medical Corporation's current location address is 4720 Hoen Ave, Santa Rosa, California. You can contact this provider via phone number 7075278222. The mailing address for Bruce D. Gaynor, M.D., Medical Corporation is 4720 Hoen Ave, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bruce D. Gaynor, M.D., Medical Corporation
Address 4720 Hoen Ave, Santa Rosa, California
Phone Number 7075278222
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Gaynor David Bruce
Credentials M.D.
Telephone Number 7075278222

NPI Number Detail

NPI Number 1548334006
Provider Enumeration Date 2006-11-17
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 4720 Hoen Ave
City Santa Rosa
State California (CA)
Post Code 954057867
Phone Number 7075278222
Fax Number

Provider's Primary Taxonomy Detail

Speciality Ophthalmic
Taxonomy 156Fx1100X
Licence No G84535
Definition:
An ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
180041368 CA MEDICARE RAILROAD
00G845350 CA --

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FAQs about Bruce D. Gaynor, M.D., Medical Corporation

What is the unique 10-digit identifier code assigned to Bruce D. Gaynor, M.D., Medical Corporation by the Centers for Medicare & Medicaid Services?

The Bruce D. Gaynor, M.D., Medical Corporation has been issued the NPI (National Provider Identifier) 1548334006 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Bruce D. Gaynor, M.D., Medical Corporation is physically located?

The Bruce D. Gaynor, M.D., Medical Corporation is physically situated at the following address: 4720 Hoen Ave, Santa Rosa, CA, 954057867.

What is the Bruce D. Gaynor, M.D., Medical Corporation's area of specialization and corresponding taxonomy classification?

The Bruce D. Gaynor, M.D., Medical Corporation's specialty field is Ophthalmic, and it falls under the taxonomy code 156Fx1100X, which categorizes healthcare providers based on their specialties.

On what date did the Bruce D. Gaynor, M.D., Medical Corporation receive its 1548334006 assignment from the Centers for Medicare & Medicaid Services?

The Bruce D. Gaynor, M.D., Medical Corporation was assigned its 1548334006 by the Centers for Medicare & Medicaid Services on 2006-11-17.

As of what date were the details related to Bruce D. Gaynor, M.D., Medical Corporation most recently updated or revised?

The information pertaining to Bruce D. Gaynor, M.D., Medical Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-17.

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