Starchvick, Gerald R
Starchvick, Gerald R is an individual health care provider with primary practice located at 1251 E Mcandrews Rd Suite 100, Medford OR 97504-6497. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Starchvick, Gerald R can be contacted via phone (541) 779-1392.Contact Information
Primary practice address
1251 E Mcandrews Rd Suite 100
Medford OR 97504-6497
Phone: (541) 779-1392
Fax: (541) 779-6531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1563T | Oregon |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1563T | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1563T | Oregon |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1563T | Oregon |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1563T | Oregon |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 1563T | Oregon |
Profile Details
| NPI number | 1972508596 |
|---|---|
| LBN Legal business name | Starchvick, Gerald R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 10th, 2008 - about 18 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 | 1972508596 | NPPES |
| Oregon | Other | 212666 | EYEMED |
| Oregon | MEDICAID | 119268 | EYEMED |
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