Gallery Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GALLERY EYECARE, LLC

Practice address

2304 Washington St
Roxbury, MA 02119-3221

Phone

(617) 202-9650

Fax

(617) 516-8212

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Lesa Dennis-Mahamed

Title

Owner, OD

Phone

(617) 202-9650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1154870954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193221",
            "telephone_number": "617-202-9650",
            "fax_number": "617-516-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193221",
            "telephone_number": "617-202-9650",
            "fax_number": "617-516-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "DENNIS-MAHAMED",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "OWNER, OD",
        "authorized_official_telephone_number": "617-202-9650"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charice Fuller
• Madeline Fullerton, OD
• Xenia Funes
• Katonya Gaines, M.ED
• Idly Galette
• Gallery Eyecare, LLC
• Christopher Gallo
• Nafeesa Galloway
• Nancy Galloway
• Galy Transportation LLC

• Optometrist in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.