Robert C. Gammon, OD
Optometrist in Bloomington, IN. Individual provider (NPI-1).
NPI number1104884071
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104884071
- Entity type
- Individual (NPI-1)
- Name
- Robert C. Gammon
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1466 | IN | Yes |
Practice location
2600 W 3rd StBloomington, IN 47404-5227
Phone 812-336-5432
Mailing address
2600 W 3rd StBloomington, IN 47404-5227
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