DR. KEVIN J. GROSS OPTOMETRY P.A. (NPI# 1609053990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609053990 |
| Entity Type | Organization |
| Organization Name | DR. KEVIN J. GROSS OPTOMETRY P.A. |
| Practice Address |
209 S Market St Suite 104 Scottsboro AL 35768-1851 |
| Mailing Address |
Po Box 756 Scottsboro AL 35768-0756 |
| Practice Telephone | 2565743491 |
| Practice Fax Number | 2562595113 |
| Mailing Telephone | 2565743491 |
| Mailing Fax Number | 2562595113 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. KEVIN J. GROSS (OWNER) |
| Authorized Official Telephone | 2565743491 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S554-TA-220 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51059775 | 01 |
| Street Address |
209 S MARKET ST SUITE 104 |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35768-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861574626 | Kevin J Gross | Optometrist | 209 S Market St, Suite 104, Scottsboro, AL 35768-1851 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787510 | Advanced Physical Therapy, LLC | Physical Therapist | 24500 John T Reid Pkwy, Scottsboro, AL 35768 | 2020-07-07 |
| 1083955173 | Premier Medical Clinic LLC | Clinic/Center | 503 Burlington Street, Scottsboro, AL 35768 | 2013-03-14 |
| 1285811463 | Edward Wesley Knowles Md PC | Surgery | 911 South Broad St, Scottsboro, AL 35768 | 2008-01-30 |
| 1669664439 | Leslie A Barrilleaux | Dentist | 412 E Willow St, Scottsboro, AL 35768 | 2007-08-15 |
| 1811049117 | Dawson Staley Colvert | Dentist | 313 Parks Avenue, Scottsboro, AL 35768 | 2007-01-17 |
| 1255483806 | Grady Mack Goss | Dentist | 313 Parks Ave, Scottsboro, AL 35768 | 2007-01-16 |
| 1215088026 | Mandi Michelle Allen-bell | Family Medicine | 405 Taylor Street, Suite A, Scottsboro, AL 35768 | 2007-01-16 |
| 1376617571 | David Pierce Chiropractic Inc | Chiropractor | 624 East Willow St, Scottsboro, AL 35768 | 2006-11-20 |
| 1588733299 | Valley Dental Implant Center LLC | Dentist | 921 South Broad St, Scottsboro, AL 35768 | 2006-11-07 |
| 1558465815 | Mark A Reece | Dentist | 416 E Laurel, Scottsboro, AL 35768 | 2006-09-08 |
| Find all providers in zip 35768 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235211533 | Ronald C. Atchley | Optometrist | 323 Parks Ave, Scottsboro, AL 35768-2411 | 2006-10-19 |
| 1437246410 | James Donald Watson | Optometrist | 113 S Market St, Scottsboro, AL 35768-1804 | 2006-10-09 |
| 1730288135 | Malon Paul Holland | Optometrist | 414 Parks Ave, Scottsboro, AL 35768-2440 | 2006-09-22 |
| 1902894686 | Ambra T Glass | Optometrist | 828 S Broad St, Scottsboro, AL 35768-2508 | 2005-10-07 |
| 1376712331 | Scottsboro Vision Center LLC | Optometrist | 323 Parks Ave, Scottsboro, AL 35768-2411 | 2008-02-25 |
| 1336350859 | R W Brack P C | Optometrist | 24833 John T Reid Pkwy, Scottsboro, AL 35768-2340 | 2007-05-25 |
| 1609973379 | Ryan Wayne Brack | Optometrist | 24833 John T Reid Pkwy, Scottsboro, AL 35768-2340 | 2006-09-17 |
| 1134191158 | Norman C Johnson | Optometrist | 828 S Broad St, Scottsboro, AL 35768-2508 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252920 | Pelham Eye Center LLC | Optometrist | 200 Canyon Park Dr, Pelham, AL 35124-4817 | 2020-10-16 |
| 1497360002 | Ian Maisonville | Optometrist | 3017 Indian Crest Dr, Pelham, AL 35124-4701 | 2020-09-10 |
| 1295340172 | National Vision Inc | Optometrist | 1107 Beltline Rd Se Ste C, Decatur, AL 35601-6556 | 2020-09-09 |
| 1417560418 | Blue Vision Center LLC | Optometrist | 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-08-28 |
| 1932727120 | Justin Michael Kendall | Optometrist | 5850 A Us Hwy 431, Albertville, AL 35950 | 2020-07-14 |
| 1457978504 | Sadiksha Prasain | Optometrist | 616 Northmoor Ln, Homewood, AL 35209-6422 | 2020-07-05 |
| 1447875919 | Brookstone Optical LLC | Optometrist | 4760 Eastern Valley Rd Ste 132, Mc Calla, AL 35111-3460 | 2020-06-10 |
| 1952926776 | Mason Buckley Childers | Optometrist | 6020 Boll Weevil Cir, Enterprise, AL 36330-9420 | 2020-06-09 |
| 1023630985 | Southern Vision Eye Care | Optometrist | 308 6th St S Ste 105, Oneonta, AL 35121-1842 | 2020-05-14 |
| 1033745773 | Ashley Ott Od LLC | Optometrist | 21530 Professional Dr Ste D, Robertsdale, AL 36567-9911 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBORO |
| Zip Code | 35768 |
Please comment or provide details below to improve the information on DR. KEVIN J. GROSS OPTOMETRY P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.