Individual
DR. JEFFRY DAVID GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21020 W 151ST ST, OLATHE, KS 66061-7200
(913) 829-5511
(913) 829-5571
Mailing address
21020 W 151ST ST, OLATHE, KS 66061-7200
(913) 829-5511
(913) 829-5571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1519-3
KS
152W00000X
Optometrist
T03413
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25144105
BLUE CROSS BLUE SHIELD KC
—
Enumeration date
07/07/2005
Last updated
07/05/2017
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