Individual
DR. SARAH NICOLE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
310 W. LOSEY ST, OPTOMETRY, SCOTT AIR FORCE BASE, IL 62225
(618) 256-2392
(314) 362-3564
Mailing address
310 W. LOSEY ST, OPTOMETRY, SCOTT AIR FORCE BASE, IL 62225
(618) 256-2392
(314) 362-3564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2013017927
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310012306
—
MO
Enumeration date
11/05/2013
Last updated
10/12/2023
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