MEDICARE: DR. GERALD ALLEN MAYER OD

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	OPC 001102	FL

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	:	1184658270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD ALLEN MAYER OD

Provider Business Mailing Address
First Line	:	7187 W OAKLAND PK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1050
Country	:	US
Telephone Number	:	954-578-9599
Fax Number	:	954-578-9464

Provider Business Practice Location Address
First Line	:	7187 W OAKLAND PK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1050
Country	:	US
Telephone Number	:	954-578-9599
Fax Number	:	954-578-9464

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	04/17/2012

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