Organization
DR STEPHEN R GREGORY & ASSOC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R GREGORY O.D. (PRESIDENT)
(812) 254-1276
Entity
Organization
Contact information
Practice address
400 E NATIONAL HWY, WASHINGTON, IN 47501-4114
(812) 254-1276
(812) 254-4099
Mailing address
PO BOX 798, WASHINGTON, IN 47501-0798
(812) 254-1276
(812) 254-4099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046290A
—
IN
Enumeration date
09/21/2006
Last updated
06/08/2010
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