Provider Demographics
NPI:1124153739
Name:GETSCHMAN, DAVID J (OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:GETSCHMAN
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 S HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1738
Mailing Address - Country:US
Mailing Address - Phone:734-455-3340
Mailing Address - Fax:
Practice Address - Street 1:449 S HARVEY ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1738
Practice Address - Country:US
Practice Address - Phone:734-455-3340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician