Jay Valentine Gallinger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001920 Issued in WA

Practice address

66 NW Boistfort St
Chehalis, WA 98532-2003

Phone

(360) 748-6191

Fax

(360) 748-7208

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Van B. Ly, LLC

  • Clinic/Center
  • Olympia, WA
  • NPI 1154585024
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1609841469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 NW BOISTFORT ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322003",
            "telephone_number": "360-748-6191",
            "fax_number": "360-748-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 NW BOISTFORT ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322003",
            "telephone_number": "360-748-6191",
            "fax_number": "360-748-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINGER",
        "first_name": "JAY",
        "middle_name": "VALENTINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011658",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helmuth Franz Fritz, MD, RVT
• Kenton Fritz, PA
• Brianna Leeann Fuentes
• Russell Owen Funk, M.S.
• Teresa Gaiser
• David L Gano, MD
• Anita R Gantry Dotson, MS SLP A CCC
• Julie Garcia
• Damon Garnas
• Erica Renee Gavin

• Optometrist in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.