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Contact Information

GATEWAY OPTICAL SERVICE INC.
18 KIRKHAM INDUSTRIAL DR
SAINT LOUIS, MO63119-1754
 Phone: 314-968-1905
 Fax: 314-968-0895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for GATEWAY OPTICAL SERVICE INC.

NPI # 1578773073
LBN Legal business name GATEWAY OPTICAL SERVICE INC.
Authorized official KRISTINE FEDORONKO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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