Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH LEON GORTZ, O.D.
ActiveKENNETH LEON GORTZ, O.D. is a Optometrist healthcare provider located in WILLARD, Ohio. NPI 1295973154 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WILLARD, OH
Registration Details
- NPI Number
- 1295973154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2009 (17.3557102008 yrs)
- Last Updated
- Aug 18, 2016
- License
-
2891 (OH)
Practice Information
- Address
-
421A E WALTON STWILLARD, OH, 448909108Browse OH providers · Browse ZIP 44890
- Phone
- 4199334327
- Fax
- 4199334336
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WILLARD, OH
| Name | Credential | NPI |
|---|---|---|
| PHILIP DALE KEYSOR | O.D. | 1679585723 |
| DR. TIFFANY PROCACCINI | O.D. | 1912136755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.