Bruce D. Gaynor, M.D., Medical Corporation in Santa Rosa - Eyewear Supplier
Bruce D. Gaynor, M.D., Medical Corporation - NPI 1548334006
Bruce D. Gaynor, M.D., Medical Corporation is a Eyewear Supplier in Santa Rosa, California. Bruce D. Gaynor, M.D., Medical Corporation practices all healthcare services and medical treatments related to Eyewear Supplier. 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 |
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Provider Enumeration Date | 2006-11-17 |
Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
Address | 4720 Hoen Ave |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954057867 |
Phone Number | 7075278222 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Eyewear Supplier |
---|---|
Taxonomy | 332H00000X |
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
180041368 | CA | MEDICARE RAILROAD | |
00G845350 | CA | -- |
Post Comment/ Review Below
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 Eyewear Supplier, and it falls under the taxonomy code 332H00000X, 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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