Individual
DR. PAMELA S. GILMARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
822 CASS ST, TRAVERSE CITY, MI 49684-3230
(231) 946-6095
(231) 252-4404
Mailing address
822 CASS ST, TRAVERSE CITY, MI 49684-3230
(231) 946-6095
(231) 252-4404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2009014769
MO
152W00000X
Optometrist
4901004513
MI
152WP0200X
Pediatric Optometrist
2009014769
MO
152WV0400X
Vision Therapy Optometrist
2009014769
MO
152WX0102X
Occupational Vision Optometrist
4901004513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922242825
—
MO
Enumeration date
04/23/2009
Last updated
11/07/2017
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