John A Gazaway is a Laurie, Missouri based male Optometrist who is specialized in Optometry. Active license number of John A Gazaway is 2009002132 for Optometry in Missouri. John A Gazaway examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
John A Gazaway speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
138 S. Main, Suite C, Laurie, Missouri, 65038
Phone:
573-374-5222
Fax:
573-374-7351
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114011913
NPI Enumeration Date:
03 Oct, 2006
NPI Last Update On:
01 Sep, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John A Gazaway are as mentioned below.
License Number
Specialization
State
Status
2009002132
Optometry
Missouri
Primary
1520T
Optometry
Iowa
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with John A Gazaway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0057075
Medicaid
Iowa
05707
Other
Iowa
BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
P.o. Box 1185, Laurie, Missouri
Zip:
65038
Phone Number:
573-374-5222
Fax Number:
573-374-7351
Patients can reach John A Gazaway at 138 S. Main, Suite C, Laurie, Missouri or can call to book an appointment on 573-374-5222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.