Organization
BARBARA ANN GORDEUK OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA ANN GORDEUK O.D. (OPTOMETRIST)
(215) 968-0203
Entity
Organization
Contact information
Practice address
495 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-4202
(215) 949-6611
(215) 949-6613
Mailing address
4899 DURHAM RD, PIPERSVILLE, PA 18947-1151
(215) 766-3997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01851714
—
PA
01
—
0192730000
INDEPENDENCE BLUE CROSS
PA
01
—
36092
DAVIS VISION-WALMART
PA
01
—
53028
DAVIS VISION-KEYSTONE
PA
01
—
57599
AETNA-US HEALTHCARE
PA
01
—
PA6881
EYEMED
PA
Enumeration date
08/31/2006
Last updated
07/30/2013
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