Provider Demographics
NPI:1497895064
Name:DEVLIN, GINA MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:MARIE
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1506
Mailing Address - Country:US
Mailing Address - Phone:215-536-5583
Mailing Address - Fax:215-536-8640
Practice Address - Street 1:500 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1506
Practice Address - Country:US
Practice Address - Phone:215-536-5583
Practice Address - Fax:215-536-8640
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001888152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist