Gedda, John M

Gedda, John M is an individual health care provider with primary practice located at 2915 Walton Blvd , Rochester Hills MI 48309-1419. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gedda, John M can be contacted via phone (248) 375-0022.

Contact Information

Primary practice address
2915 Walton Blvd Rochester Hills MI 48309-1419
Fax: (248) 375-0248
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002672 Michigan

Profile Details

NPI number 1427104595
LBN Legal business name Gedda, John M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427104595 NPPES
Michigan MEDICAID 4170671

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