Grant Derril Gwinner in Ellsworth - Optometrist
Grant Derril Gwinner - NPI 1063496362
Grant Derril Gwinner is a Optometrist in Ellsworth, Kansas. Grant Derril Gwinner practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Grant Derril Gwinner is 1063496362. The last update date is 2007-07-08.
Grant Derril Gwinner's current location address is 801 E 3rd St, Ellsworth, Kansas. You can contact this provider via phone number 7854723272 and fax number 7854723360. The mailing address for Grant Derril Gwinner is 801 E 3rd St, Ellsworth, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grant Derril Gwinner |
|---|---|
| Address | 801 E 3rd St, Ellsworth, Kansas |
| Phone Number | 7854723272 |
| Fax Number | 7854723360 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1063496362 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 801 E 3rd St |
|---|---|
| City | Ellsworth |
| State | Kansas (KS) |
| Post Code | 674394224 |
| Phone Number | 7854723272 |
| Fax Number | 7854723360 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | KS9613 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique 10-digit identification code issued to Grant Derril Gwinner by the Centers for Medicare & Medicaid Services?
The Grant Derril Gwinner has been assigned the NPI (National Provider Identifier) 1063496362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Grant Derril Gwinner located?
The Grant Derril Gwinner is located at 801 E 3Rd St, Ellsworth, KS 674394224.
What is the area of specialization for Grant Derril Gwinner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grant Derril Gwinner is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063496362 to Grant Derril Gwinner?
The Centers for Medicare & Medicaid Services assigned the 1063496362 to Grant Derril Gwinner on 2005-12-01.
As of what date was the information pertaining to Grant Derril Gwinner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Grant Derril Gwinner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY