JEFFREY GONZ (NPI# 1629101712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629101712 |
| Entity Type | Individual |
| Full Name | JEFFREY GONZ |
| Credential | OPTICIAN |
| Practice Address |
19 Main St Hallstead PA 18822 |
| Practice Telephone | 5708792302 |
| Mailing Telephone | 5708792302 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
19 MAIN ST |
| City | HALLSTEAD |
| State | PA |
| Zip Code | 18822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053409227 | Binghampton Optical Inc | Eyewear Supplier (Equipment, not the service) | 19 Main St, Hallstead, PA 18822 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558782060 | Neal Juraska | Pharmacist | 36 Rose St, Hallstead Family Pharmacy, Hallstead, PA 18822 | 2013-12-31 |
| 1942453311 | Heidi Ann Woodruff | Occupational Therapy Assistant | 616 Mountain Valley Rd, Hallstead, PA 18822 | 2008-10-29 |
| 1780749671 | Susan Marie Jackson | Family Medicine | 25066 Sr 11, Hallstead, PA 18822 | 2006-12-22 |
| 1598842023 | Reddon Drug Co. Inc. | Durable Medical Equipment & Medical Supplies | 25059 Sr 11, Hallstead, PA 18822 | 2006-11-01 |
| 1912523689 | Hallstead Family Pharmacy LLC | Pharmacy | 36 Rose St, Hallstead, PA 18822 | 2020-06-18 |
| 1346603016 | Donna C Holinej | Pharmacist | 25059 Sr 11, Po Box L, Hallstead, PA 18822 | 2016-03-31 |
| 1356615785 | Jody Lee Verdetto | Pharmacist | 25059 Sr 11, Hallstead, PA 18822 | 2012-03-02 |
| 1164528089 | Bernard Leo Remakus | Internal Medicine | Rr2 Steam Hollow Road, Hallstead, PA 18822-0367 | 2006-09-16 |
| 1841684453 | Christina Carter | Counselor | 25066 State Route 11, Hallstead, PA 18822-8816 | 2015-03-20 |
| 1841514593 | Scott Davis Wagner | Pharmacist | 25059 State Route 11, Hallstead Plaza, Hallstead, PA 18822-8831 | 2010-03-24 |
| Find all providers in zip 18822 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
| 1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
| 1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
| 1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
| 1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
| 1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEFFREY GONZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.