Individual provider Active NPI

Martha M Gallia, OD

  • Optometrist
  • El Paso, TX
National Provider Identifier
1508975301
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2262TG Issued in TX
Practice address
4171 N Mesa St Ste 100
El Paso, TX 79902-1444
Phone
(915) 267-2020
Fax
(915) 595-4460
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2262TG TX Primary

Addresses

Primary practice location

4171 N Mesa St Ste 100
El Paso, TX 79902-1444

Mailing address

4800 N 22ND St Ste 210
Phoenix, AZ 85016-4963
Phone (915) 267-2020

Other practice location 1

9810 FM 1960 Bypass
Ste 250
Humble, TX 77338
Phone (281) 446-9333

Other practice location 2

150 S Resler Dr
El Paso, TX 79912-4302
Phone (915) 267-2020

Other practice location 3

1400 Common Dr
El Paso, TX 79936-5922
Phone (915) 267-2020

Other identifiers 3

IdentifierTypeStateIssuer
4187210001OtherDME
1316150592OtherTXGROUP NPI
80267EOtherTXBCBS

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
I20100907000449 TX Practitioner - Optometry 8527182021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
80.36
Promoting interoperability
99
Improvement activities
40
Cost
84.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2262TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Eye PA Optometrist CurrentSince Sep 1, 2024 Accepting new patients
West Texas Eye PA Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Marc Ellman, M.D., P.a. CurrentSince Jan 16, 2023 Accepting new patients
Louis M Alpern, M.D., M.P.H., P.a. Optometrist PastSince Jan 15, 2023 Accepting new patients
Southwest Eye Institute, Inc. PastSince Jan 15, 2023 Accepting new patients

Locations

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

1400 Common Dr
El Paso, TX 79936
Phone (915) 267-2020

150 S Resler Dr
El Paso, TX 79912
Phone (915) 267-2020

4171 N Mesa St
Ste D100
El Paso, TX 79902
Phone (915) 267-2020

5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900

12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 792-5900

3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900

805 W Wadley Ave
Midland, TX 79705
Phone (806) 792-5900

Interoperability endpoints

  • Direct secure messaging: martha.gallia.p26@direct.avp.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1508975301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "915-267-2020",
            "fax_number": "915-595-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 N MESA ST STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021444",
            "telephone_number": "915-267-2020",
            "fax_number": "915-595-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9810 FM 1960 Bypass",
            "address_2": "Ste 250",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "77338",
            "country_code": "US",
            "telephone_number": "281-446-9333",
            "fax_number": "281-446-6143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Resler Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799124302",
            "country_code": "US",
            "telephone_number": "915-267-2020",
            "fax_number": "915-595-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Common Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799365922",
            "country_code": "US",
            "telephone_number": "915-267-2020",
            "fax_number": "915-559-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLIA",
        "first_name": "MARTHA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2262TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4187210001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316150592",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80267E",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.