Gerhardt, Tod S
Gerhardt, Tod S is an individual health care provider with primary practice located at 2743 Mt Pleasant St , Burlington IA 52601-2137. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gerhardt, Tod S can be contacted via phone (319) 754-2020.Contact Information
Primary practice address
2743 Mt Pleasant St
Burlington IA 52601-2137
Phone: (319) 754-2020
Fax: (319) 754-2299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02326 | Iowa |
Profile Details
| NPI number | 1093793903 |
|---|---|
| LBN Legal business name | Gerhardt, Tod S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jan 4th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093793903 | NPPES |
| Iowa | Other | P00286320 | RAILROAD MEDICARE |
| Iowa | MEDICAID | 0467795 | RAILROAD MEDICARE |
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