Gregory L Cagle, O.D.
Individual provider Active NPI Optometrist · Seffner, FL
NPI 1174664205 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1174664205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC1625 (FL)
- Practice address
- 1016 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4572 - Phone
- (813) 681-5151
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1625 | FL | Yes |
Addresses
Primary practice location
1016 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4572
Mailing address
1006 Mallow Way
Brandon, FL 33510-2955
Phone (813) 685-0590
Other providers in Seffner, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.