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Organization

DR. KEVIN J. GROSS OPTOMETRY P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN J. GROSS OD (OWNER)
(256) 574-3491
Entity
Organization

Contact information

Practice address
24020 JOHN T REID PKWY, SCOTTSBORO, AL 35768-2855
(256) 574-3491
(256) 259-5113
Mailing address
PO BOX 290, SECTION, AL 35771-0290
(256) 574-3491
(256) 259-5113

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S554-TA-220
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000059775
AL
01
51059775
BCBS
AL
Enumeration date
01/29/2008
Last updated
05/17/2021
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