Individual
JOSEPH E GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5405 INDIAN HILL BLVD, DIAMONDHEAD, MS 39525-3324
(228) 255-8585
(228) 875-2092
Mailing address
1410 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-2916
(228) 875-2088
(228) 875-2092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
574
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880009
—
MS
01
—
1902060643
NPI
MS
01
—
1962658203
NPI
MS
01
—
410027652
RAILROAD MEDICARE PTAN
MS
Enumeration date
09/27/2006
Last updated
02/09/2009
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