Doctor Name: | GREGORY A WEBSTER |
NPI Number: | 1689660128 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OD |
License Number: | 1025 |
Business Practice Address: | 1704 Allen St Kelso, WA - 986264907 |
Business Phone Number: | 3605770606 |
Business Fax Number: | 3606362986 |
Mailing Address: | Po Box 729, KELSO |
State: | WA |
Postal Code: | 986260062 |
Phone Number: | 3605770606 |
Fax Number: | 3606362986 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 1025 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |