Provider Demographics
NPI:1780696021
Name:GUDA, ROBERT I (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:I
Last Name:GUDA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:I
Other - Last Name:GUDA OPT PA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:6376 PINE RIDGE RD UNIT 170
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3927
Mailing Address - Country:US
Mailing Address - Phone:239-384-9905
Mailing Address - Fax:239-384-6975
Practice Address - Street 1:6376 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3908
Practice Address - Country:US
Practice Address - Phone:239-384-9905
Practice Address - Fax:239-348-6975
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2805FL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20753AMedicare ID - Type Unspecified
FLU64645Medicare UPIN