JONATHAN ALAN GUDEMAN


Address: 101 W 4th St, Salem, VA 24153-3638
Phone: 5403871183

JONATHAN ALAN GUDEMAN (NPI# 1760477228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760477228
Entity Type Individual
Full Name JONATHAN ALAN GUDEMAN
Credential O.D.
Practice Address 101 W 4th St
Salem
VA 24153-3638
Practice Telephone 5403871183
Mailing Telephone 5403871183
Enumeration Date 2005-09-12
Last Update Date 2011-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 0618000618 VA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA ADMINISTAR FEDERAL 4715110001 01
VA PALMETTO GBA 410049826 01
VA ANTHEM 461361 01
VA 9237216 05

Office Location

Street Address 101 W 4TH ST
City SALEM
State VA
Zip Code 24153-3638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588224026 Katelyn Palmer Optometrist 101 W 4th St, Salem, VA 24153-3638 2019-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669001228 Paul Mcguire Student in an Organized Health Care Education/Training Program 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 2020-04-06
1386114965 Dynamic Medical LLC Clinical Medical Laboratory 1201 Texas Street, Salem, VA 24153 2018-11-27
1134607898 Renew Psychiatry Services Psychiatry & Neurology 177 Electric Rd, Salem, VA 24153 2018-08-03
1508304015 Samantha Getz Assisted Living Facility 3706 Knollridge Rd., Salem, VA 24153 2017-02-03
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1154729051 Allison Marie Parry Physician Assistant 1336 W Main St., Salem, VA 24153 2014-12-09
1598199457 Stacy Stanley Occupational Therapy Assistant 4812 Moore Rd, Salem, VA 24153 2013-08-28
1366888034 Dolores Hager Speech-Language Pathologist 1851 Harrogate Dr, Salem, VA 24153 2013-05-21
1073850764 Joel Aaron Nickerson Specialist/Technologist 400 Spartan Dr., Salem High School, Salem, VA 24153 2013-01-15
1023387271 National Diabetic Medical Supply, LLC Durable Medical Equipment & Medical Supplies 2153 Apperson Drive, Salem, VA 24153 2011-12-16
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225638463 Troy Sanfilippo Optometrist 286 Laurelwood Dr, Salem, CT 06420-3937 2020-10-27
1275024135 Rhode Island Optometrics, LLC Optometrist 42 Samoset Dr, Salem, NH 03079 2018-05-25
1003367145 Melda Nil Esendal Optometrist 116r Highland Avenue, Salem, MA 01970 2016-10-24
1487008603 Douglas Robert Clark Optometrist 446 N State Road 198, Salem, UT 84653 2016-04-14
1073948311 Orbal Mariam Anwari Optometrist 305 Liberty St Ne, Salem, OR 97301-3519 2013-09-05
1497195648 Dr Zhu Eye Associates Optometrist 326 N Broadway, Vision Center Inside Walmart, Salem, NH 03079-2122 2013-07-02
1538429816 Eyeglass Factory Optometrist 1885 25th St Se, Salem, OR 97302-1105 2012-05-21
1851607014 Kendall Loraine Harer Mault Optometrist 116r Highland Ave Fl 2, Salem, MA 01970-2723 2010-08-26
1871738898 Julie A. Mackall Od LLC Optometrist 2400 Southeast Blvd Ste A, Salem, OH 44460-3482 2008-12-04
1598915811 Elizabeth Wolff Optometrist 400 N Broadway Ave, Salem, IL 62881-1514 2008-09-23
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Competitor

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City SALEM
Zip Code 24153

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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