Doctor Name: | DR. MERRY C GINDORF |
NPI Number: | 1962625145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | 046-007563 |
Business Practice Address: | 8847 W Cermak Rd North Riverside, IL - 605461154 |
Business Phone Number: | 7084424700 |
Business Fax Number: | 7084424703 |
Mailing Address: | 8847 W Cermak Rd, NORTH RIVERSIDE |
State: | IL |
Postal Code: | 605461154 |
Phone Number: | 7084424700 |
Fax Number: | 7084424703 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 046-007563 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |