Provider Demographics
NPI:1265407472
Name:RHOADES, GAIL ZIEGLER (OD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:ZIEGLER
Last Name:RHOADES
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 1:860 E 86TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-6859
Mailing Address - Country:US
Mailing Address - Phone:317-848-7755
Mailing Address - Fax:
Practice Address - Street 1:860 E 86TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-6859
Practice Address - Country:US
Practice Address - Phone:317-848-7755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001665B152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA410017624OtherRAILROAD MEDICARE
IN263140AMedicare PIN
GA410017624OtherRAILROAD MEDICARE
IN6247450001Medicare NSC