Active NPI
John Patrick Gallagher Jr., OD
- Optometrist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116728500 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncWilliam J. Mallon, MD
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 100
- Quality
- 93.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6168 | FL | MD | Optometrist |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| William J. Mallon, MD | Current | Accepting new patients | |
| Treasure Coast Community Health Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Fellsmere, FL
- NPI 1891740916
FL
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1326608001
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1609686542
-
- Federally Qualified Health Center (FQHC)
- Sebastian, FL
- NPI 1194274720
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1376010504
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1750922605
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1912458613
-
- Eyewear Supplier
- Vero Beach, FL
- NPI 1376569038
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.