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General NPI Number Information
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NPI Number | 1508898925
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Entity Type | Individual
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Provider Name | DAVID J GERCHAK O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 103 WILLOW ST STE C
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City | NASHVILLE
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State | IN
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Zip | 47448-7605
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Country | US
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Telephone | 812-988-3963
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Fax |
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Provider Business Mailing Address
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Address Line | 103 WILLOW ST STE C
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City | NASHVILLE
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State | IN
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Zip | 47448-7605
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Country | US
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Telephone | 812-988-3963
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003299A
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License Number State | IN
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