Jasper Gulotta in South Holland - Eyewear Supplier
Jasper Gulotta - NPI 1497937403
Jasper Gulotta is a Eyewear Supplier in South Holland, Illinois. Jasper Gulotta practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Jasper Gulotta is 1497937403. The last update date is 2009-08-28.
Jasper Gulotta's current location address is 835 E 162nd St, South Holland, Illinois. You can contact this provider via phone number 7083334444 and fax number 7083334454. The mailing address for Jasper Gulotta is 835 E 162nd St, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jasper Gulotta |
|---|---|
| Address | 835 E 162nd St, South Holland, Illinois |
| Phone Number | 7083334444 |
| Fax Number | 7083334454 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gulotta Jay Jasper |
| Credentials | O.D. |
| Telephone Number | 7083334444 |
NPI Number Detail
| NPI Number | 1497937403 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2009-08-28 |
Provider Mailing Address Detail
| Address | 835 E 162nd St |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604732465 |
| Phone Number | 7083334444 |
| Fax Number | 7083334454 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
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Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jasper Gulotta by the Centers for Medicare & Medicaid Services?
The Jasper Gulotta has been issued the NPI (National Provider Identifier) 1497937403 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jasper Gulotta's physical address?
The Jasper Gulotta is physically located at 835 E 162Nd St, in the city of South Holland, IL, with the postal code 604732465.
What is Jasper Gulotta's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jasper Gulotta's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497937403 to Jasper Gulotta?
The Centers for Medicare & Medicaid Services assigned the 1497937403 to Jasper Gulotta on 2007-11-30.
When was the Jasper Gulotta's information last updated?
The Jasper Gulotta's information was last updated on 2009-08-28.