Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENNADIY DAMESHEK, O.D.
ActiveGENNADIY DAMESHEK, O.D. is a Optometrist healthcare provider located in DE SOTO, Missouri. NPI 1871799106 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DE SOTO, MO
Registration Details
- NPI Number
- 1871799106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2007 (18.965603287282 yrs)
- Last Updated
- Jun 4, 2009
- Licenses
-
2006020342 (MO)046.009981 (IL)
Practice Information
- Address
-
126 S MAIN STDE SOTO, MO, 630202104Browse MO providers · Browse ZIP 63020
- Phone
- 6365865406
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in DE SOTO, MO
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES WILLIAM PELTON | O.D. | 1962767665 |
| RENEE KATHLEEN LANE | O.D. | 1790039410 |
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.