Provider Demographics
NPI:1902153968
Name:HOLLY C. GUTIERREZ, O.D., P.A.
Entity Type:Organization
Organization Name:HOLLY C. GUTIERREZ, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:CARRINGER
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:828-361-3924
Mailing Address - Street 1:56 MASHIE LN
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-7088
Mailing Address - Country:US
Mailing Address - Phone:828-361-3924
Mailing Address - Fax:828-835-3408
Practice Address - Street 1:2330 HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-9029
Practice Address - Country:US
Practice Address - Phone:828-835-3177
Practice Address - Fax:828-835-3408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2087152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty