Gregory Eye Associates Inc.
Organization Active NPI Optometrist · Many, LA
NPI 1376843722 · NPPES record last updated Feb 17, 2014
Key facts
- NPI
- 1376843722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 765-002T (LA)
- Legal business name
- GREGORY EYE ASSOCIATES INC.
- Practice address
- 395 S Capitol St
Many, LA 71449-3049 - Phone
- (318) 256-2020
- Fax
- (318) 256-9568
- NPI assigned
- Nov 1, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Chesley Lelwynn Gregory, O.D.
- Title
- Owner
- Phone
- (318) 256-2020
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 765-002T | LA | Yes |
Addresses
Primary practice location
395 S Capitol St
Many, LA 71449-3049
Mailing address
395 S Capitol St
Many, LA 71449-3049
Phone (318) 256-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1150631 | Medicaid | LA |
Other names
- Gregory Eye Clinic
Other providers in Many, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.