Gardner Eye Associates Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

36819 Issued in MA

Legal business name

GARDNER EYE ASSOCIATES INC

Practice address

250 Green St
Suite 106
Gardner, MA 01440

Phone

(978) 632-7626

Fax

(978) 632-0227

NPI assigned

Feb 13, 2008

Last updated

Feb 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fotios N Ganias, MD

Title

President

Phone

(978) 632-7626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1780852608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "address_2": "SUITE 106",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "01440",
            "telephone_number": "978-632-7626",
            "fax_number": "978-632-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "address_2": "SUITE 106",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "01440",
            "telephone_number": "978-632-7626",
            "fax_number": "978-632-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GANIAS",
        "authorized_official_first_name": "FOTIOS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-632-7626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "36819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019698",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen A Gamache, LMHC
• Victoria E. Gaouette
• Gardner Community Action Committee, Inc.
• Gardner Dental Group
• Gardner Emergency Medical Services Inc
• Gardner Family Chiropractic Inc.
• Gardner Family Dental Care, LLC
• Gardner Family Medicine, Inc.
• Gardner Family Pharmacy Inc
• Gardner Operations LLC

• Ophthalmology Physician in Gardner, MA
• Providers in Gardner, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.