Provider Demographics
NPI:1386531044
Name:GAMBLE, JAMES GRANT (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GRANT
Last Name:GAMBLE
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:11970 S PFLUMM RD APT 8103
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-9661
Mailing Address - Country:US
Mailing Address - Phone:913-378-8874
Mailing Address - Fax:
Practice Address - Street 1:116 EAST CEDAR STREET
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012
Practice Address - Country:US
Practice Address - Phone:913-422-7781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025019885152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist