Active NPIIndividual provider

Marina Gordeyeva, OD

Optometrist in Vineland, New Jersey

NPI Number1104238740
Practice location
206 N Main RD, Vineland, NJ 08360-8201
Fax
—
Last updated
May 26, 2023

Marina Gordeyeva is an Optometrist based in Vineland, NJ. Marina Gordeyeva practices in Vineland, NJ and has the professional credentials of OD. The NPI Number for Marina Gordeyeva is 1104238740 and holds a License No. 27OA00652500 (NJ). The current practice location address for Marina Gordeyeva is 206 N Main RD, Vineland, NJ 08360-8201 and can be reached out via phone at 856-691-0720.

Provider Profile Details

NPI Number
1104238740
Provider Name
Marina Gordeyeva
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
206 N Main RD, Vineland, NJ 08360-8201
Phone Number
856-691-0720
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
-- Marina Drozd Gordeyeva, OD (Professional Name)
Provider Enumeration Date
June 2, 2014
Last Update Date
May 26, 2023
Certification Date
May 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
206 N Main RD
Vineland, NJ 08360-8201
Zip
08360-8201
Phone Number
856-691-0720
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
206 N Main RD # A
Vineland, NJ 08360-8201
City
Vineland
State
NJ
Zip
08360-8201
Phone Number
856-691-0720

License Information

License Number
27OA00652500
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marina Gordeyeva, OD?

The NPI number of Marina Gordeyeva, OD is 1104238740. It was assigned on June 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Marina Gordeyeva, OD?

Marina Gordeyeva, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00652500.

Where does Marina Gordeyeva, OD practice?

The practice location is 206 N Main RD, Vineland, NJ 08360-8201. The office can be reached at 856-691-0720 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104238740 directly on the NPPES registry website.

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