Gallery Eye Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00259000 Issued in NJ

Legal business name

GALLERY EYE CENTER LLC

Practice address

100 N High Street
Millville, NJ 08332

Phone

(856) 327-5888

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John D Renyo, OD

Title

Owner

Phone

(856) 327-5888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1437484102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HIGH STREET",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "08332",
            "telephone_number": "856-327-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HIGH STREET",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "08332",
            "telephone_number": "856-327-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERY EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "RENYO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-327-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00259000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3339700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Mohie
• Allison Frederick, M.S., CCC - SLP
• Bassent Gabr
• Christine Leigh Gabriel, PTA
• Mark Galbiati
• Genesis Health Care
• Genoa Healthcare LLC
• Gentle Glove Home Healthcare Agency
• George Kourakin DMD, PA
• Brianna Giddens

• Optometrist in Millville, NJ
• Providers in Millville, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.