Glen R. Gaerte
Optometrist
1300 E Cooley Dr
Colton
, California 92324-3905
Glen R. Gaerte
Optometrist
1300 E Cooley Dr
Colton
, California 92324-3905
(909) 796-4158
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Glen R. Gaerte
- Po Box 2200
- Redlands, CA
- Zip : 92373-0722
- Fax : (909) 796-4158
- Phone : (909) 793-3311
Second Address
- Glen R. Gaerte
- 1300 E Cooley Dr
- Colton, CA
- Zip : 92324-3905
- Fax : (909) 796-4158
- Phone : (909) 370-4100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT5669 | CA |
National Provider Identifier
| NPI | 1003855172 |
|---|---|
| Provider Name | Glen R. Gaerte |
| First Address | Redlands, CA 92373-0722 |
| Second Address | Colton, CA 92324-3905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5D0056691 | (05) | CA |
| U73353 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.