Gordon Edgar Wuebbolt in Warren - Ophthalmic
Gordon Edgar Wuebbolt - NPI 1548234255
Gordon Edgar Wuebbolt is a Ophthalmic in Warren, Pennsylvania. Gordon Edgar Wuebbolt practices all healthcare services and medical treatments related to Ophthalmic. The NPI Number for Gordon Edgar Wuebbolt is 1548234255. The last update date is 2021-10-13.
Gordon Edgar Wuebbolt's current location address is 2 Farm Colony Drive, Warren, Pennsylvania. You can contact this provider via phone number 8147262303 and fax number 8147267459. The mailing address for Gordon Edgar Wuebbolt is 2 Farm Colony Drive, Warren, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Edgar Wuebbolt |
|---|---|
| Address | 2 Farm Colony Drive, Warren, Pennsylvania |
| Phone Number | 8147262303 |
| Fax Number | 8147267459 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548234255 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
| Address | 2 Farm Colony Drive |
|---|---|
| City | Warren |
| State | Pennsylvania (PA) |
| Post Code | 163655206 |
| Phone Number | 8147262303 |
| Fax Number | 8147267459 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic |
|---|---|
| Taxonomy | 156Fx1100X |
| Licence No | MD052930L |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1464588 | PA | -- | |
| 2155728 | NY | -- |
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What is the unique 10-digit identification code issued to Gordon Edgar Wuebbolt by the Centers for Medicare & Medicaid Services?
The Gordon Edgar Wuebbolt has been assigned the NPI (National Provider Identifier) 1548234255 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Gordon Edgar Wuebbolt located?
The Gordon Edgar Wuebbolt is located at 2 Farm Colony Drive, Warren, PA 163655206.
What is the Gordon Edgar Wuebbolt's specialty and taxonomy code?
The Gordon Edgar Wuebbolt's specialty is Ophthalmic, and the corresponding taxonomy code is 156Fx1100X.
On what date did the Gordon Edgar Wuebbolt receive its 1548234255 assignment from the Centers for Medicare & Medicaid Services?
The Gordon Edgar Wuebbolt was assigned its 1548234255 by the Centers for Medicare & Medicaid Services on 2006-02-17.
When was the information regarding Gordon Edgar Wuebbolt most recently updated?
The details pertaining to the Gordon Edgar Wuebbolt, including its address, specialty, and other relevant information, were last refreshed on 2021-10-13.