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Contact Information

BARBARA ANN GORDEUK OD LLC
495 S OXFORD VALLEY RD
FAIRLESS HILLS, PA19030-4202
 Phone: 215-949-6611
 Fax: 215-949-6613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BARBARA ANN GORDEUK OD LLC

NPI Number 1063523108
LBN Legal business name BARBARA ANN GORDEUK OD LLC
Authorized official BARBARA GORDEUK - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 07/30/2013 - About 13 years ago
Identifiers
PA Medicaid 01851714
PA Other 57599 AETNA-US HEALTHCARE
PA Other 53028 DAVIS VISION-KEYSTONE
PA Other 36092 DAVIS VISION-WALMART
PA Other PA6881 EYEMED
PA Other 0192730000 INDEPENDENCE BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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