Douglas Gushwa is a Pocatello, Idaho based male Optometrist who is specialized in Optometry. Active license number of Douglas Gushwa is 0562 for Optometry in Idaho. Douglas Gushwa examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Douglas Gushwa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
1155 Pocatello Creek Rd, Pocatello, Idaho, 83201-2949
Phone:
208-233-2020
Fax:
208-233-2021
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1629063284
NPI Enumeration Date:
20 Sep, 2005
NPI Last Update On:
13 Apr, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas Gushwa are as mentioned below.
License Number
Specialization
State
Status
0562
Optometry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Douglas Gushwa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000508200
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1155 Pocatello Creek Rd, Pocatello, Idaho
Zip:
83201-2949
Phone Number:
208-233-2020
Fax Number:
208-233-2021
Patients can reach Douglas Gushwa at 1155 Pocatello Creek Rd, Pocatello, Idaho or can call to book an appointment on 208-233-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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