Doctor Name: | DR. GERRIT H. DEVRIES |
NPI Number: | 1992729206 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 18001809B |
Business Practice Address: | 609 N Halleck St Demotte, IN - 463109545 |
Business Phone Number: | 2199873673 |
Business Fax Number: | 2199873905 |
Mailing Address: | Po Box 849, DEMOTTE |
State: | IN |
Postal Code: | 463100849 |
Phone Number: | 2199873673 |
Fax Number: | 2199873905 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 09/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 18001809B |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
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 |