Individual
BONNIE MARIE GAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
320 NW MEDICAL LOOP, ROSEBURG, OR 97471-1645
(541) 440-2590
(541) 440-9285
Mailing address
320 NW MEDICAL LOOP, ROSEBURG, OR 97471-1645
(541) 440-2590
(541) 440-9285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3054AT
OR
152W00000X
Optometrist
3097TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06254900000
REGENCE BCBS REGULAR
OR
01
—
09042
PACIFICSOURCE
OR
05
—
126636
—
OR
01
—
289F9GA
BCBS MINNESOTA
OR
01
—
430347-01
REGENCE BCBS PC65
OR
01
—
731676813
SAIF CORP
OR
01
—
73167681308E729
REGENCE BCBS FED PROG
OR
01
—
731676813974700000
TRIWEST/TRICARE/CHAMPUS
OR
01
—
CR0000PHDBR
UNITED AM INS CO
OR
01
—
P00087069
RAILROAD MEDICARE
OR
01
—
PR47149760001
CIGNA HEALTHCARE
OR
Enumeration date
01/12/2006
Last updated
01/01/2014
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