Gross, Kevin J

Gross, Kevin J is an individual health care provider with primary practice located at 24020 John T Reid Pkwy , Scottsboro AL 35768-2855. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Gross, Kevin J can be contacted via phone (256) 574-3491.

Contact Information

Primary practice address
24020 John T Reid Pkwy Scottsboro AL 35768-2855
Fax: (256) 259-5113
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X S-554-TA-220 Alabama
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X S-554-TA-220 Alabama
Eye and Vision Services Providers / Pediatrics 152WP0200X S-554-TA-220 Alabama
Eye and Vision Services Providers / Sports Vision 152WS0006X S-554-TA-220 Alabama
Eye and Vision Services Providers / Vision Therapy 152WV0400X S-554-TA-220 Alabama
Eye and Vision Services Providers / Occupational Vision 152WX0102X S-554-TA-220 Alabama
Eye and Vision Services Providers / Optometrist 152W00000X S-554-TA-220 Alabama

Profile Details

NPI number 1861574626
LBN Legal business name Gross, Kevin J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated May 17th, 2021 - about 4 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 1861574626 NPPES
Alabama MEDICAID 000059775
Alabama Other 630711357
Alabama Other 51059775

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