| Doctor Name: | GREGORY P. GACHOWSKI |
| NPI Number: | 1164501458 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | TUV003743-1 |
| Business Practice Address: | 82 Park St Tupper Lake, NY - 129861719 |
| Business Phone Number: | 5183592161 |
| Business Fax Number: | 5183592168 |
| Mailing Address: | Po Box 1197, TUPPER LAKE |
| State: | NY |
| Postal Code: | 129860197 |
| Phone Number: | 5183592161 |
| Fax Number: | 5183592168 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 03/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | TUV003743-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |