Provider Demographics
NPI:1447559190
Name:DEBORAH L GERBETZ OD INC
Entity Type:Organization
Organization Name:DEBORAH L GERBETZ OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GERBETZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-805-0582
Mailing Address - Street 1:1201 SILVER LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2236
Mailing Address - Country:US
Mailing Address - Phone:330-805-0582
Mailing Address - Fax:
Practice Address - Street 1:1201 SILVER LAKE AVE
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2236
Practice Address - Country:US
Practice Address - Phone:330-805-0582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5209251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health