Gregory K Wacasey, Od

NPI #1467633420 in Longview, Texas

Provider Information

NPI Number: 1467633420
Entity Type: Organization
Organization Name: Gregory K Wacasey, Od
Primary Specialty: Optometrist
Enumeration Date: Nov 19, 2007
Last Updated: Nov 20, 2007

Practice Location

Address: 307 W LOOP 281
Address 2: SUITE 2B
City: Longview
State: Texas
ZIP Code: 75605-4442
Phone: (903) 663-1550

Authorized Official

Name: DR. GREGORY K WACASEY, OD
Title: DOCTOR/OWNER
Phone: (903) 663-1550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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