Individual
DR. GERALD R STARCHVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1251 E MCANDREWS RD, SUITE 100, MEDFORD, OR 97504-6497
(541) 779-1392
(541) 779-6531
Mailing address
600 POWDERHORN DR, JACKSONVILLE, OR 97530-9420
(541) 779-1392
(541) 779-6531
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1563T
OR
152WL0500X
Low Vision Rehabilitation Optometrist
1563T
OR
152WP0200X
Pediatric Optometrist
1563T
OR
152WS0006X
Sports Vision Optometrist
1563T
OR
152WV0400X
Vision Therapy Optometrist
1563T
OR
152WX0102X
Occupational Vision Optometrist
1563T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119268
—
OR
01
—
212666
EYEMED
OR
Enumeration date
06/20/2005
Last updated
01/10/2008
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