DR. GARY GALLAGHER (NPI# 1699740456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699740456 |
| Entity Type | Individual |
| Full Name | DR. GARY GALLAGHER |
| Credential | O.D. |
| Practice Address |
3080 Victor Ave Redding CA 96002-1449 |
| Practice Telephone | 5302223166 |
| Practice Fax Number | 5302226539 |
| Mailing Telephone | 5302223166 |
| Mailing Fax Number | 5302226539 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6443T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL MEDICARE PTAN | CA412404 | 01 |
| CA | SD0064430 | 05 | |
| CA | INDIVIDUAL NPI | 1699740456 | 01 |
| CA | MEDICARE GROUP PTAN | CA408836 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770624371 | Gary Lyle Gallagher | Plastic Surgery | 777 Sw Mill View Way Ste 250, Bend, OR 97702-1140 | 2007-02-08 |
| 1285897702 | Gary William Gallagher | Psychiatry & Neurology | 1500 East Medical Center Drive, 1st Floor University Hospital Room 1b300, Ann Arbor, MI 48109-5036 | 2008-07-03 |
| 1104964808 | Gary David Gallagher | Podiatrist | 3550 Hobson Rd, Suite 204, Woodridge, IL 60517-1434 | 2007-02-02 |
| Street Address |
3080 VICTOR AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96002-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052365 | Enterprise Optometry Group Inc. | Optometrist | 3080 Victor Ave, Redding, CA 96002-1449 | 2019-09-17 |
| 1811023724 | Enterprise Optometry Group | Optometrist | 3080 Victor Ave, Redding, CA 96002-1449 | 2007-02-26 |
| 1588615736 | Mitchell L. Martin | Optometrist | 3080 Victor Ave, Redding, CA 96002-1449 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326464488 | Larkspur Optometry, Inc. | Optometrist | 2620 Larkspur Ln Ste L, Redding, CA 96002-1043 | 2014-03-13 |
| 1336413855 | Kenneth E. Ekelund, O.d., Inc | Optometrist | 310 Hemsted Dr, Suite 110, Redding, CA 96002-0935 | 2012-03-01 |
| 1295930782 | Advantage Eye Care Optometry Inc | Optometrist | 1751 Hartnell Ave, Suite 1, Redding, CA 96002-2219 | 2007-06-15 |
| 1922140078 | Michael D Stevenson | Optometrist | 555 E Cypress Ave, Redding, CA 96002-0105 | 2007-02-13 |
| 1619020609 | Thomas Eugene Ward | Optometrist | 2132 Eureka Way, Redding, CA 96001-0427 | 2007-01-21 |
| 1841355799 | Duane E Dodds | Optometrist | 900 Dana Dr, Mt Shasta Mall, Redding, CA 96003-4053 | 2006-12-22 |
| 1548344146 | Kenneth Errol Ekelund | Optometrist | 310 Hemsted Dr Ste 110, Redding, CA 96002-0935 | 2006-10-24 |
| 1780771584 | Steven Lee Goedert | Optometrist | 1465 Victor Ave, Ste. D, Redding, CA 96003 | 2006-10-05 |
| 1811084601 | Shasta Professional Eye Care Center, Doctors of Optometry, Inc. | Optometrist | 1225 Eureka Way # A, Redding, CA 96001-0815 | 2006-10-05 |
| 1629183793 | Robert Grant Thomas | Optometrist | 1750 Churn Creek Rd, Redding, CA 96002-0236 | 2006-08-20 |
| Find all providers in REDDING | ||||
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| 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.