National Provider Identifier Database

BRUCE D GAYNOR MD MEDICAL CORPORATION
Ophthalmic Technician/Technologist

An ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses.


Contact Information

BRUCE D. GAYNOR, M.D., MEDICAL CORPORATION
4720 HOEN AVE
SANTA ROSA, CA95405-7867
Phone: 707-527-8222
Fax:
Website:
Specialty Taxonomy Code
* Ophthalmic Technician/Technologist 156FX1100X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for BRUCE D. GAYNOR, M.D., MEDICAL CORPORATION

NPI Number 1548334006
Legal business name
LBN
BRUCE D. GAYNOR, M.D., MEDICAL CORPORATION
Authorized official BRUCE GAYNOR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/17/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: G84535
  • CA Medicaid: 00G845350
  • CA Other: 180041368 MEDICARE RAILROAD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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