Individual provider Active NPI

Claudette Callaway Galen, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1902832231
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2709TG Issued in TX
Practice address
2801 Lemmon Ave
Dallas, TX 75204-2356
Phone
(903) 436-3218
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2709TG TX Primary

Addresses

Primary practice location

2801 Lemmon Ave
Dallas, TX 75204-2356

Mailing address

2801 Lemmon Ave
Dallas, TX 75204-2356
Phone (903) 436-3218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2709TXMDChiropractor
2709TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Optometric Center of Dr. D. Gary Thomas and Associates Optometrist PastSince Jan 10, 2003 Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Past Accepting new patients
Gale Optical PC Optometrist PastSince Oct 1, 2007 Accepting new patients
PRG Dallas ASC, LLC Past Accepting new patients

Organizations & group practices 4

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1902832231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042356",
            "telephone_number": "903-436-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042356",
            "telephone_number": "903-436-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALEN",
        "first_name": "CLAUDETTE",
        "middle_name": "CALLAWAY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2709TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.