John A Gazaway, OD | |
138 S. Main, Suite C, Laurie, MO 65038 | |
(573) 374-5222 | |
(573) 374-7351 |
Full Name | John A Gazaway |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 138 S. Main, Laurie, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114011913 | NPI | - | NPPES |
0057075 | Medicaid | IA | |
05707 | Other | IA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1520T (Iowa) | Secondary |
152W00000X | Optometrist | 2009002132 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
John A Gazaway, OD P.o. Box 1185, Laurie, MO 65038 Ph: (573) 374-5222 | John A Gazaway, OD 138 S. Main, Suite C, Laurie, MO 65038 Ph: (573) 374-5222 |
Family Eyecare Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 138 South Main, Suite C, Laurie, MO 65038 Phone: 573-374-5222 Fax: 573-374-7351 | |
Family Eyecare Associates Optometrist Medicare: Medicare Enrolled Practice Location: 138 S. Main, Suite C, Laurie, MO 65037 Phone: 573-374-5222 |