Steven Phillip Gutierrez, OD is a
Optometrist based in Fort Moore, Georgia. Steven Phillip Gutierrez is licensed to practice in Wisconsin (license number 3195-35) and his current practice location is
6600 Van Aalst Blvd, Fort Moore, Georgia. He can be reached at his office (for appointments etc.) via phone at
(719) 526-2092.
NPI number for Steven Phillip Gutierrez is 1124331145 and his current mailing address is 6600 Van Aalst Blvd, Fort Moore, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124331145.
Healthcare Provider's Profile
Full Name | Steven Phillip Gutierrez |
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Gender | Male |
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Speciality | Optometrist |
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Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124331145
- Provider Enumeration Date: 07/19/2010
- Last Update Date: 12/15/2023
Medical Identifiers
Medical identifiers for Steven Phillip Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124331145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 3195-035 (Wisconsin) | Secondary |
152W00000X | Optometrist | 3195-35 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Steven Phillip Gutierrez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Steven Phillip Gutierrez, OD 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: () - | Steven Phillip Gutierrez, OD 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (719) 526-2092 |
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