Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILL M BAKOTA GUTIERREZ, O.D.
ActiveDR. JILL M BAKOTA GUTIERREZ, O.D. is a Optometrist healthcare provider located in FORT MOORE, Georgia. NPI 1932412871 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT MOORE, GA
Registration Details
- NPI Number
- 1932412871
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2010 (16.041325933901 yrs)
- Last Updated
- Mar 11, 2024
- Licenses
-
8634 TG (TX)OPT002625 (GA)0002964 (CO)046010341 (IL)
Practice Information
- Address
-
MARTIN ARMY COMMUNITY HOSPITAL6600 VAN AALST BLVD, BLDG 9250FORT MOORE, GA, 31905Browse GA providers · Browse ZIP 31905
- Phone
- 7624083498
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in FORT MOORE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. KENDALL CLARK MULLINS | O.D. | 1144364043 |
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.