Gregory K Wacasey, Od

NPI 1467633420 - Optometrist - 152W00000X

NPI Details
NPI 1467633420
Enumeration Date 11/19/2007
Last Updated 11/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY K GREGORY
Position DOCTOR/OWNER
Phone (903) 663-1550
Fax (903) 663-9038
Practice Location
307 W LOOP 281
SUITE 2B
LONGVIEW TX, 75605-4442, US
Phone (903) 663-1550
Fax (903) 663-9038
Business Location
307 W LOOP 281
SUITE 2B
LONGVIEW TX, 75605-4442, US
Phone (903) 663-1550
Fax (903) 663-9038
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 7108TG
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According to our database, Gregory K Wacasey, Od NPI is 1467633420, taxonomy code is 152W00000X and license number is 7108TG, license state is located at Texas. Gregory K Wacasey, Od physically located at 307 W Loop 281, Longview TX, 75605-4442. NPI Number 1033115704 has the healthcare provider type.

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1467633420 NPI number is provided on an as is basis without warranty of any kind. 1467633420 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory K Wacasey, Od are for informational purposes only.