Monte A Gallinger, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1423 Issued in WA

Practice address

17307 SE 272ND St Ste 118
Covington, WA 98042-5306

Phone

(253) 630-3400

Fax

(253) 638-0122

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1962572420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17307 SE 272ND ST STE 118",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425306",
            "telephone_number": "253-630-3400",
            "fax_number": "253-638-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17307 SE 272ND ST STE 118",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425306",
            "telephone_number": "253-630-3400",
            "fax_number": "253-638-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINGER",
        "first_name": "MONTE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "0084961",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Imelda Gallamos Garcia, PHARMACIST
• Richelle Gardner, LMP
• Marina Garkavi
• Verlene Joyce Gauthier, M.D.

• Optometrist in Covington, WA
• Providers in Covington, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.