Individual
TOD S GERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2743 MT PLEASANT ST, BURLINGTON, IA 52601-2137
(319) 754-2020
(319) 754-2299
Mailing address
2743 MT PLEASANT ST, BURLINGTON, IA 52601-2137
(319) 754-2020
(319) 754-2299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02326
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467795
—
IA
01
—
P00286320
RAILROAD MEDICARE
IA
Enumeration date
01/03/2006
Last updated
01/04/2008
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