Active NPIIndividual providerSole proprietor

Dr. Gary A Eagle, OD

Optometrist in West Orange, New Jersey

NPI Number1881750024
Practice location
414 Eagle Rock Ave, Suite 206A, West Orange, NJ 07052-4229
Fax
973-325-0075
Last updated
July 8, 2007

Gary A Eagle is an Optometrist based in West Orange, NJ. Gary A Eagle practices in West Orange, NJ and has the professional credentials of OD. The NPI Number for Gary A Eagle is 1881750024 and holds a License No. 4575 (NJ). The current practice location address for Gary A Eagle is 414 Eagle Rock Ave, Suite 206A, West Orange, NJ 07052-4229 and can be reached out via phone at 973-325-0500 and via fax at 973-325-0075.

Provider Profile Details

NPI Number
1881750024
Provider Name
Gary A Eagle
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
414 Eagle Rock Ave, Suite 206A, West Orange, NJ 07052-4229
Phone Number
973-325-0500
Fax Number
973-325-0075
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
414 Eagle Rock Ave
Suite 206A
West Orange, NJ 07052-4229
Zip
07052-4229
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
4575
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, OD?

The NPI number of Dr. Gary A Eagle, OD is 1881750024. It was assigned on December 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary A Eagle, OD?

Dr. Gary A Eagle, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 4575.

Where does Dr. Gary A Eagle, OD practice?

The practice location is 414 Eagle Rock Ave, Suite 206A, West Orange, NJ 07052-4229. 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 1881750024 directly on the NPPES registry website.

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