Gabriele Eye Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01050631A Issued in IN

Legal business name

GABRIELE EYE INSTITUTE

Practice address

2216 Cassopolis St
Elkhart, IN 46514-5133

Phone

(574) 266-9000

Fax

(574) 266-0007

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Philip J Gabriele, MD

Title

President

Phone

(574) 252-7757

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1043343908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453424",
            "telephone_number": "574-252-7757",
            "fax_number": "574-254-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 CASSOPOLIS ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145133",
            "telephone_number": "574-266-9000",
            "fax_number": "574-266-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELE EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "GABRIELE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-252-7757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01050631A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200496010B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Friedli, RPT
• Austin Fritzgerald
• Emily Fayeth Fry-Schutt, PHARMD
• Sara L Fry
• Dawn Marie Fulmer, R.D.
• Gahc3 Elkhart in Alf TRS Sub, LLC
• Katharine L Gaj, DPT, OCS, COMT, ATC
• Sean-Robin Galvan, PA-C
• Kenneth L. Gammon, M.D.
• Alma Gandara

• Ophthalmology Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.