Organization
GREGORY K. WACASEY OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY WACASEY OD (PRESIDENT)
(903) 461-5315
Entity
Organization
Contact information
Practice address
2834 BILL OWENS PKWY, LONGVIEW, TX 75605-2102
(903) 663-1550
Mailing address
2834 BILL OWENS PKWY, LONGVIEW, TX 75605-2102
(903) 663-1550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7108TG
TX
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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