JOHN A GAZAWAY OD
NPI 1114011913
Optometrist in Laurie, MO

Active since October 03, 2006
138 S. MAIN, SUITE C, LAURIE, MO 65038(573) 374-5222(573) 374-7351 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John A Gazaway Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN A GAZAWAY OD (NPI 1114011913) is an individual optometrist in Laurie, Missouri, licensed in Missouri (2009002132) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114011913
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN A GAZAWAYCredential: OD
Location Address138 S. MAIN, SUITE CLaurie, MO 65038
Mailing AddressP.o. Box 1185Laurie, MO 65038 · (573) 374-5222 · Fax (573) 374-7351
Fax(573) 374-7351
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 1, 2010
NPI 1114011913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MO · 2009002132 Licensed in IA · 1520T
Definition
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.
138 S. MAIN, Laurie, MO 65038

Other Identifiers 6

Medicare PIN156750002
Medicare PIN05707
Medicare UPINT00482
Other05707IA · Blue Shield
Medicaid0057075IA
Medicare NSC0360200001IA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Gazaway's NPI number?

The NPI number for John Gazaway is 1114011913. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is John Gazaway located?

John Gazaway practices at 138 S. Main Suite C, Laurie, MO 65038. The listed phone number is (573) 374-5222.

What is John Gazaway's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for John Gazaway was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.