Organization
DR GARY CUSHING OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MARK CUSHING OD (OPTOMETRIST OWNER)
(209) 537-2359
Entity
Organization
Contact information
Practice address
2911 E HATCH RD, MODESTO, CA 95351-4921
(209) 537-2359
(209) 537-4802
Mailing address
2911 EAST HATCH RD, MODESTO, CA 95351-4921
(209) 537-2359
(209) 537-4802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4418T
CA
Other
Enumeration date
05/10/2007
Last updated
09/10/2010
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