Provider Demographics
NPI:1275643132
Name:DRS. GILMAN & GILMAN
Entity Type:Organization
Organization Name:DRS. GILMAN & GILMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLING
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-283-2020
Mailing Address - Street 1:68 E CENTRAL AVE
Mailing Address - Street 2:STE C
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-9718
Mailing Address - Country:US
Mailing Address - Phone:530-283-2020
Mailing Address - Fax:
Practice Address - Street 1:68 E CENTRAL AVE
Practice Address - Street 2:STE C
Practice Address - City:QUINCY
Practice Address - State:CA
Practice Address - Zip Code:95971-9718
Practice Address - Country:US
Practice Address - Phone:530-283-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 7446 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0276140001Medicare NSC
CAYYY50072YMedicare ID - Type UnspecifiedMEDICARE ID