Gateway Optical Service Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GATEWAY OPTICAL SERVICE INC.

Practice address

18 Kirkham Industrial Dr
Saint Louis, MO 63119-1754

Phone

(314) 968-1905

Fax

(314) 968-0895

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kristine M Fedoronko

Title

Owner

Phone

(314) 968-1905

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578773073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KIRKHAM INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191754",
            "telephone_number": "314-968-1905",
            "fax_number": "314-968-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KIRKHAM INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191754",
            "telephone_number": "314-968-1905",
            "fax_number": "314-968-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY OPTICAL SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEDORONKO",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-968-1905",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gateway Region Young Men's Christian Association
• Gateway RX LLC (Uvanta Pharmacy - St. Louis)
• Gateway RX, LLC

• Eyewear Supplier in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.