Gabriele Eye Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01050631A Issued in IN

Legal business name

GABRIELE EYE INSTITUTE

Practice address

3730 Edison Lakes Pkwy
Mishawaka, IN 46545-3424

Phone

(574) 252-7757

Fax

(574) 254-2638

NPI assigned

Jul 26, 2005

Last updated

May 30, 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

Philip J Gabriele, M.D.

Title

President

Phone

(574) 252-7757

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1912907585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453424",
            "telephone_number": "574-252-7757",
            "fax_number": "574-254-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453424",
            "telephone_number": "574-252-7757",
            "fax_number": "574-254-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELE EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "GABRIELE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-252-7757",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01050631A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200496010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Fritz
• Charles G Fry, BA
• Elizabeth Theis Gable
• Lyndsay Gable, FNP-BC
• Lisa Gabler, COTA
• Noah Gaffney
• Gahc3 Mishawaka in Alf TRS Sub, LLC (Tanglewood Trace)
• Magdalena Gakwandi, LLMSW
• Janet Ann Galanes, M.D.
• Galen Inpatient Physicians PC

• Ophthalmology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.