Douglas Gross in Saint Cloud - Optometrist

Douglas Gross - NPI 1033193511

Douglas Gross is a Optometrist in Saint Cloud, Minnesota. Douglas Gross practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Douglas Gross is 1033193511. The last update date is 2010-08-23.

Douglas Gross's current location address is 207 County Road 120, Saint Cloud, Minnesota. You can contact this provider via phone number 3202025985 and fax number 3202027890. The mailing address for Douglas Gross is 207 County Road 120, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Gross
Address 207 County Road 120, Saint Cloud, Minnesota
Phone Number 3202025985
Fax Number 3202027890
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1033193511
Provider Enumeration Date 2005-11-30
Last Updated Date 2010-08-23

Provider Mailing Address Detail

Address 207 County Road 120
City Saint Cloud
State Minnesota (MN)
Post Code 563034872
Phone Number 3202025985
Fax Number 3202027890

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2083
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
78223800 MN --
410032600 MN RAILROAD MEDICARE
82973GR MN BLUE CROSS BLUE SHIELD
22-24009 MN MEDICA
HP27094 MN HEALTH PARTNERS

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FAQs about Douglas Gross

What is the unique identifier code issued to Douglas Gross by the Centers for Medicare & Medicaid Services?

The Douglas Gross has been assigned the NPI (National Provider Identifier) 1033193511. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Douglas Gross is physically located?

The Douglas Gross is physically situated at the following address: 207 County Road 120, Saint Cloud, MN, 563034872.

What is Douglas Gross's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Douglas Gross is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date was the 1033193511 assigned to Douglas Gross?

The Douglas Gross was issued its 1033193511 on 2005-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Douglas Gross, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglas Gross, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-23.

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