Provider Demographics
NPI:1598219610
Name:CAIRNS, GERARD (PHD, OD, FAAO)
Entity Type:Individual
Prefix:DR
First Name:GERARD
Middle Name:
Last Name:CAIRNS
Suffix:
Gender:M
Credentials:PHD, OD, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 CLINTON AVE S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2616
Mailing Address - Country:US
Mailing Address - Phone:585-244-6011
Mailing Address - Fax:585-244-0236
Practice Address - Street 1:2100 CLINTON AVE S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2616
Practice Address - Country:US
Practice Address - Phone:585-244-6011
Practice Address - Fax:585-244-0236
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008504152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist