Kevin J Gross is a Sports Vision in Section, Alabama. Kevin J Gross practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Kevin J Gross is 1861574626. The last update date is 2021-05-17.
Kevin J Gross's current location address is Po Box 290, Section, Alabama. You can contact this provider via phone number 2565743491 and fax number 2562595113. The mailing address for Kevin J Gross is Po Box 290, Section, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin J Gross |
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Address | Po Box 290, Section, Alabama |
Phone Number | 2565743491 |
Fax Number | 2562595113 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1861574626 |
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Provider Enumeration Date | 2006-10-20 |
Last Updated Date | 2021-05-17 |
Provider Mailing Address Detail
Address | Po Box 290 |
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City | Section |
State | Alabama (AL) |
Post Code | 357710290 |
Phone Number | 2565743491 |
Fax Number | 2562595113 |
Provider's Primary Taxonomy Detail
Speciality | Sports Vision |
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Taxonomy | 152Ws0006X |
Licence No | S-554-TA-220 |
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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59775 | AL | -- | |
630711357 | AL | TAX ID | |
51059775 | AL | BCBS |
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What is the unique identifier code issued to Kevin J Gross by the Centers for Medicare & Medicaid Services?
The Kevin J Gross has been assigned the NPI (National Provider Identifier) 1861574626. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin J Gross?
The Kevin J Gross is situated at Po Box 290, in the city of Section, state of AL, with the zip code 357710290.
What is Kevin J Gross's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin J Gross is Sports Vision, and the taxonomy code that classifies this field of practice is 152Ws0006X.
On what date did the Kevin J Gross receive the assignment of its 1861574626 from the Centers for Medicare & Medicaid Services?
The Kevin J Gross was issued its 1861574626 by the Centers for Medicare & Medicaid Services on 2006-10-20.
As of what date was the information pertaining to Kevin J Gross, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin J Gross, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-17.