Webster, Gregory A

Webster, Gregory A is an sole proprietor health care provider with primary practice located at 1704 Allen St , Kelso WA 98626-4907. He recently has 5 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 / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Webster, Gregory A can be contacted via phone (360) 577-0606.

Contact Information

Primary practice address
1704 Allen St Kelso WA 98626-4907
Phone: (360) 577-0606
Fax: (360) 636-2986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1025 Washington
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1025 Washington
Eye and Vision Services Providers / Pediatrics 152WP0200X 1025 Washington
Eye and Vision Services Providers / Sports Vision 152WS0006X 1025 Washington
Eye and Vision Services Providers / Occupational Vision 152WX0102X 1025 Washington

Profile Details

NPI number 1689660128
LBN Legal business name Webster, Gregory A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated May 20th, 2010 - about 15 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 1689660128 NPPES
Washington MEDICAID 1016328

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