NPI 1013096825

Gregory D Loose, OD

Practitioner Optometrist Wiggins, MS

Practice location

Address: 1113 Central Ave E, Wiggins, MS 39577-9605
Phone: (601) 928-3914
Fax: (601) 928-2207

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 758 (MS)

Other Optometrist providers in Mississippi →

Registry record

NPI: 1013096825
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2006
Record last updated: 26 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.