OPTICAL GALLERIA PLLC (NPI# 1518575513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518575513 |
| Entity Type | Organization |
| Organization Name | OPTICAL GALLERIA PLLC |
| Practice Address |
4135 Dr Martin Luther King Blvd # G16 Fort Myers FL 33916-4809 |
| Practice Telephone | 2393135259 |
| Practice Fax Number | 2396724368 |
| Mailing Telephone | 2393135259 |
| Mailing Fax Number | 2396724368 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | CHRISTIAN GONZALEZ (LICENSED OPTICIAN) |
| Authorized Official Telephone | 2392708170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
4135 DR MARTIN LUTHER KING BLVD # G16 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| 1629564554 | Robin Bennett Morrison | Technician/Technologist | 13468 Palm Beach Blvd Ste B, Fort Myers, FL 33905-2168 | 2018-07-03 |
| 1487153391 | Kelly Lyn Chasnov | Technician/Technologist | 15245 S Tamiami Trl Ste 6, Fort Myers, FL 33908-4596 | 2018-02-06 |
| 1316321003 | Wal-mart Stores East, Lp | Technician/Technologist | 19975 S Tamiami Trail, Fort Myers, FL 33967 | 2015-07-13 |
| 1487991469 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3260 Forum Blvd Ste 303, Fort Myers, FL 33905-5584 | 2013-01-10 |
| 1902414634 | Aarti Haribhai Chothani | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1578972378 | Richard Mccoy | Technician/Technologist | 1850 Boy Scout Dr, Unit 107, Fort Myers, FL 33907-2127 | 2014-08-05 |
| 1811237845 | 20/20 Optical Inc | Technician/Technologist | 2336 Cleveland Ave, Fort Myers, FL 33901-3540 | 2013-02-28 |
| 1194952572 | Nancy Bragaw Patten | Technician/Technologist | 4790 Barkley Cir Bldg C-103, Fort Myers, FL 33907-7543 | 2009-06-12 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
Please comment or provide details below to improve the information on OPTICAL GALLERIA PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.