DR. KEVIN J GROSS (NPI# 1861574626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861574626 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J GROSS |
| Credential | O.D. |
| 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 | 2006-10-20 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
S-554-TA-220 | AL | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
S-554-TA-220 | AL | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
S-554-TA-220 | AL | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
S-554-TA-220 | AL | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
S-554-TA-220 | AL | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
S-554-TA-2 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51059775 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366982290 | Kevin Francis Gross | Family Medicine | 2295 W William St, Delaware, OH 43015-1361 | 2017-02-25 |
| 1720085483 | Kevin D. Gross | Dentist | 603 Highway 321 N Unit 20 Bldg 4, Lenoir City Prof. Park, Lenoir City, TN 37771-6575 | 2005-07-07 |
| Street Address |
209 S MARKET ST SUITE 104 |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35768-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609053990 | Dr. Kevin J. Gross Optometry P.a. | Optometrist | 209 S Market St, Suite 104, Scottsboro, AL 35768-1851 | 2008-01-29 |
| 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 | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487160768 | Vision Plus Eyecare Dekalb LLC | Optometrist | 94 Church Avenue N, Rainsville, AL 35986 | 2017-12-21 |
| 1275999476 | Andrea B. Hudson, Od, LLC | Optometrist | 2937 7th Ave S Ste 104, Birmingham, AL 35233-2927 | 2016-01-05 |
| 1881915189 | Total Eye Care | Optometrist | 5619 Grove Blvd Ste 109, Birmingham, AL 35226-4604 | 2010-06-21 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1174783542 | Steele Optometric Associates | Optometrist | 300 Foothills Place, Chelsea, AL 35043-8208 | 2008-06-10 |
| 1205907565 | Kenyatta D. Brantley | Optometrist | 700 Boulevard South Sw, Suite 104, Huntsville, AL 35802-2115 | 2006-11-10 |
| 1790862019 | Michael E Tyner | Optometrist | 704 Brookwood Vlg, Birmingham, AL 35209-4549 | 2006-11-01 |
| 1730148198 | Clifford Lee Stratton | Optometrist | 8089 Highway 72 W, Suite A, Madison, AL 35758-9530 | 2006-03-22 |
| 1982686572 | Susan Horton Eiland | Optometrist | 2700 10th Avenue South, Suite 404, Birmingham, AL 35205-1250 | 2005-11-18 |
| 1194715318 | Armand L Gagnon Jr. | Optometrist | 1919 28th Ave S, Ste 117, Homewood, AL 35209-2684 | 2005-10-27 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBORO |
| Zip Code | 35768 |
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| 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.