Dr. Gerald R Starchvick, O.D.
Optometrist, Corneal and Contact Management in Medford, OR. Individual provider (NPI-1).
NPI number1972508596
StatusActive
Last updated in NPPESJan 10, 2008
Details
- NPI
- 1972508596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gerald R Starchvick
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2005
- Last updated
- Jan 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WC0802X | Optometrist, Corneal and Contact Management | 1563T | OR | Yes |
| 152WL0500X | Optometrist, Low Vision Rehabilitation | 1563T | OR | |
| 152WP0200X | Optometrist, Pediatrics | 1563T | OR | |
| 152WS0006X | Optometrist, Sports Vision | 1563T | OR | |
| 152WV0400X | Optometrist, Vision Therapy | 1563T | OR | |
| 152WX0102X | Optometrist, Occupational Vision | 1563T | OR |
Practice location
1251 E McAndrews RdSuite 100
Medford, OR 97504-6497
Phone 541-779-1392 · Fax 541-779-6531
Mailing address
600 Powderhorn DrJacksonville, OR 97530-9420
Phone 541-779-1392 · Fax 541-779-6531
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