Organization Active NPI

Gail E. Correale, O.D., PLLC

  • Optometrist
  • Garden City, NY
National Provider Identifier
1447310743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006373 Issued in NY
Legal business name
GAIL E. CORREALE, O.D., PLLC
Practice address
630 Old Country Rd
Roosevelt Field Mall
Garden City, NY 11530-3467
Phone
(516) 873-0742
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gail E Correale, O.D.
Title
Optometrist
Phone
(516) 873-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006373 NY Primary

Addresses

Primary practice location

630 Old Country Rd
Roosevelt Field Mall
Garden City, NY 11530-3467

Mailing address

88 Jenkins St
Merrick, NY 11566-1714
Phone (516) 223-1902

National Provider Directory

National Provider Directory

Locations

1600 Stewart Ave
Ste 108
Westbury, NY 11590
Phone (516) 294-8232

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447310743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JENKINS ST",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661714",
            "telephone_number": "516-223-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 OLD COUNTRY RD",
            "address_2": "ROOSEVELT FIELD MALL",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303467",
            "telephone_number": "516-873-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL E. CORREALE, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORREALE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "516-873-0742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.