Gregory K. Wacasey Od Pllc

NPI #1700252640 in Longview, Texas

Provider Information

NPI Number: 1700252640
Entity Type: Organization
Organization Name: Gregory K. Wacasey Od Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 14, 2015
Last Updated: Aug 14, 2015

Practice Location

Address: 2834 BILL OWENS PKWY
City: Longview
State: Texas
ZIP Code: 75605-2102
Phone: (903) 663-1550

Authorized Official

Name: DR. GREGORY WACASEY, OD
Title: PRESIDENT
Phone: (903) 461-5315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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