Organization Active NPI

Gregory M. Gallousis MD PC

  • Ophthalmology Physician
  • Stamford, CT
National Provider Identifier
1497793947
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
044280 Issued in CT
Legal business name
GREGORY M. GALLOUSIS MD PC
Doing business as
Stamford Eye Associates
Practice address
999 Summer Street
Suite 105
Stamford, CT 06905-5546
Phone
(203) 359-2020
Fax
(203) 325-4482
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Dr. Gregory M. Gallousis, MD
Title
Owner/MD
Phone
(203) 359-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 044280 CT Primary
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0009X 044280 CT

Addresses

Primary practice location

999 Summer Street
Suite 105
Stamford, CT 06905-5546

Mailing address

999 Summer Street
Suite 105
Stamford, CT 06905-5546
Phone (203) 359-2020

Other names 1

  • Stamford Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

70 Mill River St
Stamford, CT 06902
Phone (203) 323-8989

999 Summer St
Ste 200
Stamford, CT 06905
Phone (203) 961-1152

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1497793947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SUMMER STREET",
            "address_2": "SUITE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-359-2020",
            "fax_number": "203-325-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUMMER STREET",
            "address_2": "SUITE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-359-2020",
            "fax_number": "203-325-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY M. GALLOUSIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "GALLOUSIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "203-359-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "044280",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CT",
            "license": "044280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stamford Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.