Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DWIGHT GREGORY, OPTICIAN
Active Sole ProprietorMR. DWIGHT GREGORY, OPTICIAN is a Optician, Dispensing healthcare provider located in RANCHO CUCAMONGA, California. NPI 1407144330 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · RANCHO CUCAMONGA, CA
Registration Details
- NPI Number
- 1407144330
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2011 (15.054540522129 yrs)
- Last Updated
- Aug 19, 2011
- Licenses
-
6462 (CA)7602 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11940 FOOTHILL BLVD STE 107RANCHO CUCAMONGA, CA, 917399375Browse CA providers · Browse ZIP 91739
- Phone
- 9099441451
- Fax
- 9099445174
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.