MEDICARE: EAGLE EYE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	1767	VI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356758411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAGLE EYE CENTER

Provider Business Mailing Address
First Line	:	PO BOX 7948
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00823-7948
Country	:	US
Telephone Number	:	340-773-2393
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 SION FARM SHOPP CTR
Second Line	:	SUITE 1A
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4433
Country	:	US
Telephone Number	:	340-773-2393
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FARAH GALAYDH
Credential	:	MD
Telephone Number	:	352-205-0107

Provider Enumeration Date	:	07/21/2014
Last Update Date	:	12/18/2014

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Directions to “EAGLE EYE CENTER ” Practice Location

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