Gerson, Jeffry David

Gerson, Jeffry David is an individual health care provider with primary practice located at 21020 W 151St St , Olathe KS 66061-7200. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gerson, Jeffry David can be contacted via phone (913) 829-5511.

Contact Information

Primary practice address
21020 W 151St St Olathe KS 66061-7200
Phone: (913) 829-5511
Fax: (913) 829-5571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03413 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 1519-3 Kansas

Profile Details

NPI number 1659378461
LBN Legal business name Gerson, Jeffry David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 5th, 2017 - about 8 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 1659378461 NPPES
Other 25144105 BLUE CROSS BLUE SHIELD KC

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