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Wayne Paul Gasser, OD

Optometrist in Columbus, GA. Individual provider (NPI-1).

NPI number1013012012
StatusActive
Last updated in NPPESJun 20, 2024

Details

NPI
1013012012
Entity type
Individual (NPI-1)
Name
Wayne Paul Gasser
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 14, 2006
Certification date
Jun 20, 2024
Last updated
Jun 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT002144GAYes

Practice location

6490 Veterans Pkway
Columbus, GA 31909

Phone 706-653-6202 · Fax 706-653-9204

Mailing address

8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442

Phone 703-847-8899

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