Kathleen Gore Avery in O Fallon - Optometrist
Kathleen Gore Avery - NPI 1417085820
Kathleen Gore Avery is a Optometrist in O Fallon, Missouri. Kathleen Gore Avery practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kathleen Gore Avery is 1417085820. The last update date is 2019-10-14.
Kathleen Gore Avery's current location address is 3013 Winghaven Blvd, O Fallon, Missouri. You can contact this provider via phone number 6365613937. The mailing address for Kathleen Gore Avery is 3013 Winghaven Blvd, O Fallon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Gore Avery |
|---|---|
| Address | 3013 Winghaven Blvd, O Fallon, Missouri |
| Phone Number | 6365613937 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1417085820 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2019-10-14 |
Provider Mailing Address Detail
| Address | 3013 Winghaven Blvd |
|---|---|
| City | O Fallon |
| State | Missouri (MO) |
| Post Code | 633683600 |
| Phone Number | 6365613937 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | TO2659 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Kathleen Gore Avery by the Centers for Medicare & Medicaid Services (CMS)?
The Kathleen Gore Avery has been assigned the NPI (National Provider Identifier) 1417085820. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kathleen Gore Avery's physical address?
The Kathleen Gore Avery is physically located at 3013 Winghaven Blvd, in the city of O Fallon, MO, with the postal code 633683600.
What is the Kathleen Gore Avery's specialty and taxonomy code?
The Kathleen Gore Avery's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417085820 to Kathleen Gore Avery?
The Centers for Medicare & Medicaid Services assigned the 1417085820 to Kathleen Gore Avery on 2007-02-28.
As of what date was the information pertaining to Kathleen Gore Avery, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kathleen Gore Avery, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-10-14.