Organization Active NPI

Gallaher Eyecare

  • Optometrist
  • Lebanon, TN
National Provider Identifier
1235313990
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1493 Issued in TN
Legal business name
GALLAHER EYECARE
Practice address
401 W Main St Ste 101
Lebanon, TN 37087-3555
Phone
(615) 444-9111
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
John R Gallaher
Title
Owner/Optometrist
Phone
(615) 444-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODT1493 TN Primary

Addresses

Primary practice location

401 W Main St Ste 101
Lebanon, TN 37087-3555

Mailing address

401 W Main St
Ste 102
Lebanon, TN 37087-3584
Phone (615) 444-9111

National Provider Directory

National Provider Directory

Locations

401 W Main St
Ste 102
Lebanon, TN 37087
Phone (615) 365-4424

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1235313990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "address_2": "STE 102",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873584",
            "telephone_number": "615-444-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST STE 101",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873555",
            "telephone_number": "615-444-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLAHER EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "GALLAHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "615-444-9111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.