Provider Demographics
NPI:1780147033
Name:GALLAGHER EYE CARE ASSOCIATES, PLLC
Entity type:Organization
Organization Name:GALLAGHER EYE CARE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:617-275-6364
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:GRANTHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03753-0510
Mailing Address - Country:US
Mailing Address - Phone:603-843-8097
Mailing Address - Fax:603-643-4962
Practice Address - Street 1:53 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2022
Practice Address - Country:US
Practice Address - Phone:603-643-2400
Practice Address - Fax:603-643-4962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1558339382OtherNPI