Dr Gary Cushing OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4418T Issued in CA

Legal business name

DR GARY CUSHING OD INC

Practice address

2911 E Hatch Rd
Modesto, CA 95351-4921

Phone

(209) 537-2359

Fax

(209) 537-4802

NPI assigned

May 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Mark Cushing, OD

Title

Optometrist Owner

Phone

(209) 537-2359

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preeti Bhukhan

  • Optometrist
  • Modesto, CA
  • NPI 1710310586
  NPD (past)
• Shuchuan Wang, O.D.

  • Optometrist
  • Livermore, CA
  • NPI 1295807766
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1740495225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 EAST HATCH RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514921",
            "telephone_number": "209-537-2359",
            "fax_number": "209-537-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 E HATCH RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514921",
            "telephone_number": "209-537-2359",
            "fax_number": "209-537-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GARY CUSHING OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "CUSHING",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST  OWNER",
        "authorized_official_telephone_number": "209-537-2359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4418T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Michael P. Shaw, a Professional Corporation, Inc.

• Optometrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.