Active NPIOrganization

Dr Gary A Eagle LLC

Optometrist in West Orange, New Jersey

NPI Number1013331909
Practice location
414 Eagle Rock Avenue, Suite 206A, West Orange, NJ 07052-4224
Fax
973-325-0075
Last updated
February 12, 2014

Dr Gary A Eagle LLC is a healthcare organization based in West Orange, NJ. Dr Gary A Eagle LLC practices in West Orange, NJ. The NPI Number for Dr Gary A Eagle LLC is 1013331909 and holds a License No. 27OA00457500 (NJ). The current practice location address for Dr Gary A Eagle LLC is 414 Eagle Rock Avenue, Suite 206A, West Orange, NJ 07052-4224 and can be reached out via phone at 973-325-0500 and via fax at 973-325-0075.

Provider Profile Details

NPI Number
1013331909
Provider Name
Dr Gary A Eagle LLC
Provider Entity Type
Organization
Address
414 Eagle Rock Avenue, Suite 206A, West Orange, NJ 07052-4224
Phone Number
973-325-0500
Fax Number
973-325-0075
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Gary A Eagle, OD · Optometrist/Owner · 973-325-0500
Provider Enumeration Date
February 12, 2014
Last Update Date
February 12, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
414 Eagle Rock Avenue
Suite 206A
West Orange, NJ 07052-4224
Zip
07052-4224
Phone Number
973-325-0500
Fax Number
973-325-0075
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
414 Eagle Rock Ave
Suite 206A
West Orange, NJ 07052-4229
City
West Orange
State
NJ
Zip
07052-4229
Phone Number
973-325-0500
Fax Number
973-325-0075

License Information

License Number
27OA00457500
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr Gary A Eagle LLC?

The NPI number of Dr Gary A Eagle LLC is 1013331909. It was assigned on February 12, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr Gary A Eagle LLC?

Dr Gary A Eagle LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00457500.

Where does Dr Gary A Eagle LLC practice?

The practice location is 414 Eagle Rock Avenue, Suite 206A, West Orange, NJ 07052-4224. The office can be reached at 973-325-0500 (phone) or 973-325-0075 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013331909 directly on the NPPES registry website.

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