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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 P.A.

NPI # 1609053990
LBN Legal business name DR. KEVIN J. GROSS OPTOMETRY P.A.
Authorized official KEVIN GROSS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2008
Last updated 05/17/2021 - About 5 years ago
Identifiers
AL License # S554-TA-220
AL Medicaid 000059775
AL Other 51059775 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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