DR. KEVIN DEAN GUNNERSON (NPI# 1104839661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104839661 |
| Entity Type | Individual |
| Full Name | DR. KEVIN DEAN GUNNERSON |
| Credential | O.D. |
| Practice Address |
1301 E Highway 24 Moberly MO 65270-3683 |
| Practice Telephone | 6602635885 |
| Practice Fax Number | 6602632362 |
| Mailing Telephone | 6602635885 |
| Mailing Fax Number | 6602632362 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 02126 | IA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1235 | NE | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1999137663 | MO | Eye and Vision Services Providers |
| Street Address |
1301 E HIGHWAY 24 |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-3683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871510198 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1301 E Highway 24, Moberly, MO 65270-3683 | 2006-07-16 |
| 1083214480 | Bethany Billups | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3655 | 2020-10-27 |
| 1962814541 | Barbara Ann Woodcock | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2014-05-29 |
| 1831472760 | Kimberly Moore | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2011-09-27 |
| 1275730038 | My Eye Doctor, LLC | Optometrist | 1301 E Highway 24, Inside Wal-mart Vision Center, Moberly, MO 65270-3683 | 2007-06-27 |
| 1215018114 | Wal-mart Stores East, Lp | Technician/Technologist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134301666 | Danny R. Boardsen | Optometrist | 541 W Reed St, Moberly, MO 65270-1509 | 2007-11-27 |
| 1194947564 | Eye Care Optical | Optometrist | 715 North Morley Street, Moberly, MO 65270-2617 | 2007-05-03 |
| 1215058243 | Moberly Eye Center Inc | Optometrist | 1633 S Morley St, Moberly, MO 65270-1938 | 2007-04-03 |
| 1992886311 | Dan R Boardsen Od PC | Optometrist | 541 West Reed, Moberly, MO 65270 | 2006-10-19 |
| 1457551996 | Curators of The University of Missouri | Optometrist | 715 N Morley St, Moberly, MO 65270-2617 | 2007-07-23 |
| 1275730038 | My Eye Doctor, LLC | Optometrist | 1301 E Highway 24, Inside Wal-mart Vision Center, Moberly, MO 65270-3683 | 2007-06-27 |
| 1053318790 | David M Whitson | Optometrist | 1633 S Morley St, Moberly, MO 65270-1938 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.