Gabriele Eye Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01050631A Issued in IN

Legal business name

GABRIELE EYE INSTITUTE

Practice address

2042 E Ireland Rd
South Bend, IN 46614-2909

Phone

(574) 291-2020

Fax

(574) 299-0942

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Philip J Gabriele, MD

Title

President

Phone

(574) 252-7757

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1467585323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453424",
            "telephone_number": "574-254-0700",
            "fax_number": "574-254-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 E IRELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142909",
            "telephone_number": "574-291-2020",
            "fax_number": "574-299-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELE EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "GABRIELE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-252-7757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01050631A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200496010C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Ann Fuller, FNP-BC
• Erin Elsa Fund, MD
• William Owen Funston, LSW
• Jaclyn Ann Fusco
• Deepak N Gaba, MD
• Pranuthi Gadde, DO
• Danielle Gaff
• Leslee Gage, MSW, LCSW
• Gail'S Home Care LLC
• Lacy Rae Gaines

• Ophthalmology Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.