Dr Gary a Eagle LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00457500 Issued in NJ

Legal business name

DR GARY A EAGLE LLC

Practice address

414 Eagle Rock Avenue
Suite 206a
West Orange, NJ 07052-4224

Phone

(973) 325-0500

Fax

(973) 325-0075

NPI assigned

Feb 12, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary A Eagle, ODNPI 1881750024

Title

Optometrist/Owner

Phone

(973) 325-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: jeagle363@drgaryaeagleod.eyefinitydirect.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary A Eagle, O.D.

  • Optometrist
  • West Orange, NJ
  • NPI 1881750024
  Medicare reassignment NPD Authorized official
• Nisha Arvind Chaudhari, OD

  • Optometrist
  • New York, NY
  • NPI 1568072379

  NJ

  Medicare reassignment NPD
• Robert M Kirsch, O.D.

  • Optometrist
  • West Orange, NJ
  • NPI 1629075056
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1013331909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 EAGLE ROCK AVE",
            "address_2": "SUITE 206A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524229",
            "telephone_number": "973-325-0500",
            "fax_number": "973-325-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 EAGLE ROCK AVENUE",
            "address_2": "SUITE 206A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524224",
            "telephone_number": "973-325-0500",
            "fax_number": "973-325-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GARY A EAGLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "973-325-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00457500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth F Dougherty, DMD
• Colleen Dowling, NP
• Laura L. Downey, M.D.
• Dr Anesthesia LLC
• Dr Dental of West Orange PC
• Dr Savir Foot and Ankle Specialist
• Dr Tayeba Shaikh
• Delia Drake
• Florence Drattler, NP
• Maureen C Duane-Pfeiffer, PTA

• Optometrist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.