Individual
DR. GREGORY KYLE WACASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
307 W LOOP 281, SUITE 2B, LONGVIEW, TX 75605-4442
(903) 663-1550
Mailing address
307 W LOOP 281, SUITE 2B, LONGVIEW, TX 75605-4442
(903) 663-1550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7108T
TX
Other
Enumeration date
07/13/2007
Last updated
07/26/2011
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