Gregory B Kloesel in Southlake - Optometrist
Gregory B Kloesel - NPI 1962404665
Gregory B Kloesel is a Optometrist in Southlake, Texas. Gregory B Kloesel practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gregory B Kloesel is 1962404665. The last update date is 2008-12-16.
Gregory B Kloesel's current location address is 101 River Oaks Dr, Southlake, Texas. You can contact this provider via phone number 8175622101 and fax number 8175622201. The mailing address for Gregory B Kloesel is 101 River Oaks Dr, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory B Kloesel |
|---|---|
| Address | 101 River Oaks Dr, Southlake, Texas |
| Phone Number | 8175622101 |
| Fax Number | 8175622201 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1962404665 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2008-12-16 |
Provider Mailing Address Detail
| Address | 101 River Oaks Dr |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 76092 |
| Phone Number | 8175622101 |
| Fax Number | 8175622201 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4107TG |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8F9265 | TX | MEDICARE INDIVIDUAL PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory B Kloesel by the Centers for Medicare & Medicaid Services?
The Gregory B Kloesel has been assigned the NPI (National Provider Identifier) 1962404665. 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 share the complete physical address where Gregory B Kloesel is geographically located?
The Gregory B Kloesel is physically situated at the following location: 101 River Oaks Dr, Southlake, TX, 76092.
What is Gregory B Kloesel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory B Kloesel is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962404665 to Gregory B Kloesel?
The Gregory B Kloesel received its 1962404665 assignment from the Centers for Medicare & Medicaid Services on 2005-08-12.
As of what date were the details pertaining to Gregory B Kloesel last refreshed?
The information related to the Gregory B Kloesel, including its address, specialty, and other relevant details, was last updated on 2008-12-16.