Chesley Lelwynn Gregory in Shreveport - Optometrist

Chesley Lelwynn Gregory - NPI 1861410730

Chesley Lelwynn Gregory is a Optometrist in Shreveport, Louisiana. Chesley Lelwynn Gregory practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Chesley Lelwynn Gregory is 1861410730. The last update date is 2019-12-03.

Chesley Lelwynn Gregory's current location address is 9425 Healthplex Dr Ste 101, Shreveport, Louisiana. You can contact this provider via phone number 3186835171 and fax number 3186835182. The mailing address for Chesley Lelwynn Gregory is 9425 Healthplex Dr Ste 101, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Chesley Lelwynn Gregory
Address 9425 Healthplex Dr Ste 101, Shreveport, Louisiana
Phone Number 3186835171
Fax Number 3186835182
Sole Proprietor N
Credentials M.D. ,O.D.

NPI Number Detail

NPI Number 1861410730
Provider Enumeration Date 2006-07-18
Last Updated Date 2019-12-03

Provider Mailing Address Detail

Address 9425 Healthplex Dr Ste 101
City Shreveport
State Louisiana (LA)
Post Code 711068154
Phone Number 3186835171
Fax Number 3186835182

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 765-002T
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1578240 LA --
1150631 LA --
1578240 LA MEDICAID (TIE BREAKER TAXONOMY

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FAQs about Chesley Lelwynn Gregory

What is the unique 10-digit identifier code assigned to Chesley Lelwynn Gregory by the Centers for Medicare & Medicaid Services?

The Chesley Lelwynn Gregory has been issued the NPI (National Provider Identifier) 1861410730 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Chesley Lelwynn Gregory?

The Chesley Lelwynn Gregory is situated at 9425 Healthplex Dr Ste 101, in the city of Shreveport, state of LA, with the zip code 711068154.

What is the area of specialization for Chesley Lelwynn Gregory, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Chesley Lelwynn Gregory is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

When was the Chesley Lelwynn Gregory's 1861410730 issued?

The Chesley Lelwynn Gregory's 1861410730 was issued on 2006-07-18.

When was the information pertaining to Chesley Lelwynn Gregory most recently updated or revised?

The details related to Chesley Lelwynn Gregory, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-03.

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