Gary Wayne Delancey in Ellisville - Corneal And Contact Management
Gary Wayne Delancey - NPI 1164413415
Gary Wayne Delancey is a Corneal And Contact Management in Ellisville, Missouri. Gary Wayne Delancey practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Gary Wayne Delancey is 1164413415. The last update date is 2007-07-08.
Gary Wayne Delancey's current location address is 113 Old State Rd, Ellisville, Missouri. You can contact this provider via phone number 6362567800 and fax number 6363941011. The mailing address for Gary Wayne Delancey is 113 Old State Rd, Ellisville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Wayne Delancey |
|---|---|
| Address | 113 Old State Rd, Ellisville, Missouri |
| Phone Number | 6362567800 |
| Fax Number | 6363941011 |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1164413415 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 113 Old State Rd |
|---|---|
| City | Ellisville |
| State | Missouri (MO) |
| Post Code | 630212042 |
| Phone Number | 6362567800 |
| Fax Number | 6363941011 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | T02255 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100813 | BLUE CROSS | ||
| 5615221 | AETNA | ||
| 114194 | COLE | ||
| 26258 | AVESIS | ||
| 262074 | NVA | ||
| T02255 | VBA | ||
| 114194 | EYEMED | ||
| 12922 | SPECTERA | ||
| 26258 | BLUE CHOICE | ||
| VP13561 | VCA |
Post Comment/ Review Below
What is the unique identifier code issued to Gary Wayne Delancey by the Centers for Medicare & Medicaid Services?
The Gary Wayne Delancey has been assigned the NPI (National Provider Identifier) 1164413415. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gary Wayne Delancey is physically located?
The Gary Wayne Delancey is situated at the following address: 113 Old State Rd, Ellisville, MO 630212042.
On what date was the 1164413415 assigned to Gary Wayne Delancey?
The Gary Wayne Delancey was issued its 1164413415 on 2005-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Gary Wayne Delancey receive the assignment of its 1164413415 from the Centers for Medicare & Medicaid Services?
The Gary Wayne Delancey was issued its 1164413415 by the Centers for Medicare & Medicaid Services on 2005-11-03.
As of what date was the information pertaining to Gary Wayne Delancey, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Wayne Delancey, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.