Individual provider Active NPI

Patricia A Galos, O.D.

  • Optometrist
  • Jasper, TX
National Provider Identifier
1477786549
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7297TG Issued in TX
Practice address
2051 S Wheeler St Ste C
Jasper, TX 75951-5600
Phone
(409) 384-2020
Fax
(409) 384-5102
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7297TG TX Primary

Addresses

Primary practice location

2051 S Wheeler St Ste C
Jasper, TX 75951-5600

Mailing address

103 W Gibson St
Suite 120
Jasper, TX 75951-4977
Phone (409) 381-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000310 TX Practitioner - Optometry 6406997592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James Eye Associates, PLLC Optometrist PastSince Nov 10, 2017 Accepting new patients
Lehmann Eye Center, PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571443200000",
    "number": "1477786549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W GIBSON ST",
            "address_2": "SUITE 120",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514977",
            "telephone_number": "409-381-8100",
            "fax_number": "409-381-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 S WHEELER ST STE C",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515600",
            "telephone_number": "409-384-2020",
            "fax_number": "409-384-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALOS",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2019-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7297TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

Verify at the official NPI Registry.