| John A Gazaway, OD | |
|
138 S. Main, Suite C, Laurie, MO 65038 | |
| (573) 374-5222 | |
| (573) 374-7351 |
| Full Name | John A Gazaway |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 138 S. Main, Laurie, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114011913 | NPI | - | NPPES |
| 0057075 | Medicaid | IA | |
| 05707 | Other | IA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1520T (Iowa) | Secondary |
| 152W00000X | Optometrist | 2009002132 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John A Gazaway, OD P.o. Box 1185, Laurie, MO 65038 Ph: (573) 374-5222 | John A Gazaway, OD 138 S. Main, Suite C, Laurie, MO 65038 Ph: (573) 374-5222 |
Devin Coleman, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 S Main St, Laurie, MO 65038 Phone: 573-374-5222 | |
Laurie Family Eyecare, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 138 S. Main, Suite C, Laurie, MO 65037 Phone: 573-374-5222 |