Organization
GREGORY K WACASEY, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY K WACASEY OD (DOCTOR/OWNER)
(903) 663-1550
Entity
Organization
Contact information
Practice address
307 W LOOP 281, SUITE 2B, LONGVIEW, TX 75605-4442
(903) 663-1550
(903) 663-9038
Mailing address
307 W LOOP 281, SUITE 2B, LONGVIEW, TX 75605-4442
(903) 663-1550
(903) 663-9038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7108TG
TX
Other
Enumeration date
11/19/2007
Last updated
11/20/2007
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