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NPI Code Detail

MEDICARE: GUNNING AMES PTRS

MEDICARE: GUNNING AMES PTRS
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
1332H00000XEyewear Supplier
2152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
221023OTHERCVC

General Provider Information

NPI Number : 1295860559
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUNNING AMES PTRS
Provider Business Mailing Address
First Line : 218 E NORTH ST
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1148
Country : US
Telephone Number : 740-947-2945
Fax Number : 740-947-1458
Provider Business Practice Location Address
First Line : 218 E NORTH ST
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1148
Country : US
Telephone Number : 740-947-2945
Fax Number : 740-947-1458
Authorized Official
Title or Position : OPTOMETRIST
Name : JOHN N GUNNING II
Credential : O.D.
Telephone Number : 740-947-2945
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/24/2007

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Directions to “GUNNING AMES PTRS ” Practice Location

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