Dr Gary Cushing Od INC

NPI #1740495225 in Modesto, California

Provider Information

NPI Number: 1740495225
Entity Type: Organization
Organization Name: Dr Gary Cushing Od INC
Primary Specialty: Optometrist
Enumeration Date: May 10, 2007
Last Updated: Sep 10, 2010

Practice Location

Address: 2911 E HATCH RD
City: Modesto
State: California
ZIP Code: 95351-4921
Phone: (209) 537-2359

Authorized Official

Name: DR. GARY MARK CUSHING, OD
Title: OPTOMETRIST OWNER
Phone: (209) 537-2359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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