Provider Demographics
NPI:1114073962
Name:GARDNER, HOPE PATTERSON (OD, MS)
Entity Type:Individual
Prefix:DR
First Name:HOPE
Middle Name:PATTERSON
Last Name:GARDNER
Suffix:
Gender:F
Credentials:OD, MS
Other - Prefix:DR
Other - First Name:HOPE
Other - Middle Name:
Other - Last Name:PATTERSON GARDNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD, MS
Mailing Address - Street 1:116 N MILLER DR STE B
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-7630
Mailing Address - Country:US
Mailing Address - Phone:740-965-1165
Mailing Address - Fax:740-870-2810
Practice Address - Street 1:116 N MILLER DR STE B
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-7630
Practice Address - Country:US
Practice Address - Phone:740-965-1165
Practice Address - Fax:740-870-2810
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5059152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist