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PAUL L GUNDERSON M.D. P.C. NPI 1225232572


NPI Information

NPI: 1225232572
Provider Name: PAUL L GUNDERSON, M.D., P.C.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
190 GROTON RD
SUITE 240
AYER, MA
ZIP 01432
Phone: (978) 772-4000
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PAUL L GUNDERSON, M.D., P.C. is an eyewear supplier in Ayer, MA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PAUL L GUNDERSON, M.D., P.C. NPI is 1225232572. The provider is registered as an organization entity type.

The provider's business location address is:

190 GROTON RD
SUITE 240
AYER, MA
ZIP 01432-124
Phone: (978) 772-4000
Fax: (978) 772-6033

The provider's authorized official is Steven R Brusie .
The authorized official title is Owner and has the following contact phone number (978) 772-4000.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 4/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier210292MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H44002MEDICARE UPIN
2A32747MEDICARE PINMASSACHUSETTS
30171671MEDICAIDMASSACHUSETTS
40641810001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.