Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY ERIC DEATHERAGE
Active Sole ProprietorMR. GREGORY ERIC DEATHERAGE is a Optician, Dispensing healthcare provider located in WICHITA FALLS, Texas. NPI 1457544181 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · WICHITA FALLS, TX
Registration Details
- NPI Number
- 1457544181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2007 (18.923847304932 yrs)
- Last Updated
- Jul 17, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
2916 GARNETT AVEWICHITA FALLS, TX, 763081002Browse TX providers · Browse ZIP 76308
- Phone
- 9407237241
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in WICHITA FALLS, TX
| Name | Credential | NPI |
|---|---|---|
| MR. JACKIE DAVID RICHMOND | OPTICIAN | 1871703314 |
| IAN GARCIA | — | 1932978905 |
| AMANDA SUE SCHNEIDER | ABOC | 1609669928 |
| MAKAYLA LYNN LANCASTER | — | 1881587988 |
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.