Jerry Otis Bush in Grand Junction - Ophthalmology

Jerry Otis Bush - NPI 1457464257

Jerry Otis Bush is a Ophthalmology in Grand Junction, Colorado. Jerry Otis Bush practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Jerry Otis Bush is 1457464257. The last update date is 2023-03-07.

Jerry Otis Bush's current location address is 1000 Wellington Ave, Grand Junction, Colorado. You can contact this provider via phone number 9702439000 and fax number 9702454936. The mailing address for Jerry Otis Bush is 1000 Wellington Ave, Grand Junction, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Otis Bush
Address 1000 Wellington Ave, Grand Junction, Colorado
Phone Number 9702439000
Fax Number 9702454936
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1457464257
Provider Enumeration Date 2006-08-16
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1000 Wellington Ave
City Grand Junction
State Colorado (CO)
Post Code 81501
Phone Number 9702439000
Fax Number 9702454936

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 26622
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1266220 CO --

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FAQs about Jerry Otis Bush

What is the unique identifier code issued to Jerry Otis Bush by the Centers for Medicare & Medicaid Services?

The Jerry Otis Bush has been assigned the NPI (National Provider Identifier) 1457464257. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jerry Otis Bush is physically located?

The Jerry Otis Bush is situated at the following address: 1000 Wellington Ave, Grand Junction, CO 81501.

What is Jerry Otis Bush's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerry Otis Bush's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.

On what date was the 1457464257 assigned to Jerry Otis Bush?

The Jerry Otis Bush was issued its 1457464257 on 2006-08-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jerry Otis Bush most recently updated?

The details pertaining to the Jerry Otis Bush, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.

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