Individual provider Active NPI

John Patrick Gallagher Jr., OD

  • Optometrist
  • Vero Beach, FL
National Provider Identifier
1649908971
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6168 Issued in FL
Practice address
3500 US Highway 1
Vero Beach, FL 32960-4511
Phone
(772) 299-1404
Fax
(772) 299-1455
NPI assigned
Aug 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6168 FL Primary

Addresses

Primary practice location

3500 US Highway 1
Vero Beach, FL 32960-4511

Mailing address

3500 US Highway 1
Vero Beach, FL 32960-4511
Phone (772) 299-1404

Other identifiers 1

IdentifierTypeStateIssuer
116728500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230613001573 FL Practitioner - Optometry 8123485778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Community Health IncGroup PAC ID 4082625827, 28 clinicians
William J. Mallon, MDGroup PAC ID 9234039116, 10 clinicians

Practice addresses (Care Compare)

12196 County Rd
Suite 512
Fellsmere, FL 32948-5463
Phone (772) 257-8224

3500 US Hwy 1
Vero Beach, FL 32960-4511
Phone (772) 299-1404

Merit-based Incentive Payment System (MIPS)

Final score
88.19 of 100Reported as group
Quality
93.87
Promoting interoperability
100
Improvement activities
40
Cost
66.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6168FLMDOptometrist

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Treasure Coast Community Health Inc CurrentSince Jun 13, 2024 Accepting new patients
William J. Mallon, MD CurrentSince Oct 13, 2025 Accepting new patients
Treasure Coast Community Health Inc CurrentSince Jun 13, 2024 Accepting new patients
Treasure Coast Community Health Inc Current Accepting new patients

Locations

12196 County Road 512
Fellsmere, FL 32948
Phone (561) 571-8828

1707 S 25th St
Fort Pierce, FL 34947
Phone (772) 410-2810

3500 US Highway 1
Vero Beach, FL 32960
Phone (772) 202-6625

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1649908971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604511",
            "telephone_number": "772-299-1404",
            "fax_number": "772-299-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604511",
            "telephone_number": "772-299-1404",
            "fax_number": "772-299-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116728500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.