Mayer, Gerald Allen

Mayer, Gerald Allen is an sole proprietor health care provider with primary practice located at 7187 W Oakland Pk Blvd , Lauderhill FL 33313-1050. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mayer, Gerald Allen can be contacted via phone (954) 578-9599.

Contact Information

Primary practice address
7187 W Oakland Pk Blvd Lauderhill FL 33313-1050
Fax: (954) 578-9464
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 001102 Florida

Profile Details

NPI number 1184658270
LBN Legal business name Mayer, Gerald Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Apr 17th, 2012 - about 14 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 1184658270 NPPES
Florida MEDICAID 084483700

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