Individual
DR. JOHN B GELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
301 NE MULBERRY STREET, SUITE 101, LEE'S SUMMIT, MO 64086-4533
(816) 525-3937
Mailing address
715 SW DERBY DR, LEES SUMMIT, MO 64081-3277
(816) 525-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14783
KS
152W00000X
Optometrist
Primary
T03486
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100348700C
—
KS
05
—
315207316
—
MO
Enumeration date
02/01/2006
Last updated
11/08/2021
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