Provider Demographics
NPI:1992799852
Name:GERBETZ, DEBORAH LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LYNN
Last Name:GERBETZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1201 SILVER LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2236
Mailing Address - Country:US
Mailing Address - Phone:330-805-0582
Mailing Address - Fax:330-805-0582
Practice Address - Street 1:575 WHITE POND DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1184
Practice Address - Country:US
Practice Address - Phone:330-835-1629
Practice Address - Fax:330-835-1629
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5209152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist