Healthcare Provider Details

I. General information

NPI: 1326841933
Provider Name (Legal Business Name): EMMA AUDREY GURGEL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 31ST ST
MARION IA
52302-3748
US

IV. Provider business mailing address

985 31ST ST
MARION IA
52302-3748
US

V. Phone/Fax

Practice location:
  • Phone: 319-377-9735
  • Fax:
Mailing address:
  • Phone: 319-377-9735
  • Fax: 319-373-2941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number132496
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: