Organization Active NPI

Eagle Eye Center

  • Ophthalmology Physician
  • Christiansted, VI
National Provider Identifier
1356758411
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1767 Issued in VI
Legal business name
EAGLE EYE CENTER
Practice address
4100 Sion Farm Shopp Ctr
Suite 1a
Christiansted, VI 00820-4433
Phone
(340) 773-2393
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Farah Galaydh, MD
Title
President
Phone
(352) 205-0107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 1767 VI Primary

Addresses

Primary practice location

4100 Sion Farm Shopp Ctr
Suite 1a
Christiansted, VI 00820-4433

Mailing address

PO Box 7948
Christiansted, VI 00823-7948
Phone (340) 773-2393

Other identifiers 1

IdentifierTypeStateIssuer
273073100MedicaidFL

National Provider Directory

National Provider Directory

Locations

4100 Sion Farm Shopp Ctr
Ste 1A
Christiansted, VI 00820
Phone (340) 773-2393

9151 Estate Thomas
Ste 107
St Thomas, VI 00802
Phone (340) 773-2393

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1356758411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7948",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008237948",
            "telephone_number": "340-773-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SION FARM SHOPP CTR",
            "address_2": "SUITE 1A",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204433",
            "telephone_number": "340-773-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "GALAYDH",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-205-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VI",
            "license": "1767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273073100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.