Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASPER J GULOTTA, O.D.
Active Sole ProprietorDR. JASPER J GULOTTA, O.D. is a Optometrist healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1669464251 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1669464251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (21.028815195642 yrs)
- Last Updated
- Nov 15, 2007
- License
-
046-7183 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
835 E 162ND STSOUTH HOLLAND, IL, 604732465Browse IL providers · Browse ZIP 60473
- Phone
- 7083334444
- Fax
- 7083334454
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SOUTH HOLLAND, IL
| Name | Credential | NPI |
|---|---|---|
| DR. LONNIE LEE WILLIAMS | OD | 1225045669 |
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.