Provider Demographics
NPI:1235310947
Name:WRIGHT, GREGORY SCOTT (OD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:SCOTT
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:1415 WOOTEN LAKE RD NW STE 100
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1342
Practice Address - Country:US
Practice Address - Phone:770-573-4345
Practice Address - Fax:770-573-4352
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2023-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO2042152W00000X, 152WC0802X
GAOPT001826152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management