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Individual
DR. GARY WAYNE DELANCEY
Active
Individual
DR. GARY WAYNE DELANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T02255
MO
152WC0802X
Corneal and Contact Management Optometrist
Primary
T02255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100813
BLUE CROSS
—
01
—
114194
COLE
—
01
—
12922
SPECTERA
—
01
—
262074
NVA
—
01
—
26258
AVESIS
—
01
—
5615221
AETNA
—
01
—
T02255
VBA
—
01
—
VP13561
VCA
—
Enumeration date
11/03/2005
Last updated
09/06/2026
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