MEDICARE: DR. DAVID MARTIN GILL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4697	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982615720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MARTIN GILL O.D.

Provider Business Mailing Address
First Line	:	4030 MORSE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3018
Country	:	US
Telephone Number	:	614-473-9700
Fax Number	:	614-473-9703

Provider Business Practice Location Address
First Line	:	4030 MORSE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3018
Country	:	US
Telephone Number	:	614-473-9700
Fax Number	:	614-473-9073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	01/14/2010

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