Jordan M Usunov is a Ophthalmology in Tracy, California. Jordan M Usunov practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Jordan M Usunov is 1609939099. The last update date is 2008-01-31.
Jordan M Usunov's current location address is 1540 N Tracy Blvd, Tracy, California. You can contact this provider via phone number 2098362223 and fax number 2098362530. The mailing address for Jordan M Usunov is 1540 N Tracy Blvd, Tracy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan M Usunov |
|---|---|
| Address | 1540 N Tracy Blvd, Tracy, California |
| Phone Number | 2098362223 |
| Fax Number | 2098362530 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609939099 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 1540 N Tracy Blvd |
|---|---|
| City | Tracy |
| State | California (CA) |
| Post Code | 953762903 |
| Phone Number | 2098362223 |
| Fax Number | 2098362530 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | C38780 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DOC387801 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jordan M Usunov by the Centers for Medicare & Medicaid Services?
The Jordan M Usunov has been issued the NPI (National Provider Identifier) 1609939099, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jordan M Usunov?
The Jordan M Usunov is situated at 1540 N Tracy Blvd, in the city of Tracy, state of CA, with the zip code 953762903.
What is the Jordan M Usunov's specialty and taxonomy code?
The Jordan M Usunov's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609939099 to Jordan M Usunov?
The Jordan M Usunov received its 1609939099 assignment from the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the information regarding Jordan M Usunov most recently updated?
The details pertaining to the Jordan M Usunov, including its address, specialty, and other relevant information, were last refreshed on 2008-01-31.