Individual
DR. MICHAEL SMITH GITCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5189
Mailing address
3250 ZEMKE AVE, MACDILL AFB, FL 33621-1607
(813) 827-9132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2817
CO
152W00000X
Optometrist
OPC6238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033412341
—
CO
Enumeration date
12/08/2010
Last updated
01/09/2024
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