Individual
DR. MAURICE WILLIAM GELDERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
383
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0678960001
DMERC REGION C
NM
01
—
201003466
PRESBYTERIAN HEALTH PLAN
NM
01
—
436603246
MEDICARE PTAN
NM
05
—
P1483
—
NM
01
—
P315
BLUE CROSS BLUE SHIELD NM
NM
Enumeration date
09/23/2005
Last updated
06/16/2009
Update your record
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