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Contact Information

DR. KEVIN J. GROSS OPTOMETRY P.A.
24020 JOHN T REID PKWY
SCOTTSBORO, AL35768-2855
 Phone: 256-574-3491
 Fax: 256-259-5113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR KEVIN J GROSS OPTOMETRY PA · (Female)

NPI Number 1609053990
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2008
Last updated 05/17/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # S554-TA-220
  • AL Medicaid 000059775
  • AL Other 51059775 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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