Delancey, Gary Wayne

Delancey, Gary Wayne is an individual health care provider with primary practice located at 113 Old State Rd Suite 101, Ellisville MO 63021-2042. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Delancey, Gary Wayne can be contacted via phone (636) 256-7800.

Contact Information

Primary practice address
113 Old State Rd Suite 101 Ellisville MO 63021-2042
Phone: (636) 256-7800
Fax: (636) 394-1011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02255 Missouri
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X T02255 Missouri

Profile Details

NPI number 1164413415
LBN Legal business name Delancey, Gary Wayne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164413415 NPPES
Other 100813 BLUE CROSS
Other 5615221 BLUE CROSS
Other 114194 BLUE CROSS
Other 26258 BLUE CROSS
Other 262074 BLUE CROSS
Other T02255 BLUE CROSS
Other 114194 BLUE CROSS
Other 12922 BLUE CROSS
Other 26258 BLUE CROSS
Other VP13561 BLUE CROSS

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