Organization
PAUL R GAYEFF OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R GAYEFF O.D. (OPTOMETRIST)
(906) 786-2664
Entity
Organization
Contact information
Practice address
2500 7TH AVE S, SUITE 217, ESCANABA, MI 49829-1176
(906) 789-1400
Mailing address
2500 7TH AVE S, SUITE 217, ESCANABA, MI 49829-1176
(906) 789-1400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5096229
—
MI
01
—
900B110170
BCBS OF MI
MI
01
—
DG1305
RAILROAD MEDICARE
—
Enumeration date
03/14/2007
Last updated
09/13/2012
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