Healthcare Provider Details

I. General information

NPI: 1427881754
Provider Name (Legal Business Name): GAJA VISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5724 SHETLAND CT
BENSALEM PA
19020-2225
US

IV. Provider business mailing address

5724 SHETLAND CT
BENSALEM PA
19020-2225
US

V. Phone/Fax

Practice location:
  • Phone: 412-499-2206
  • Fax:
Mailing address:
  • Phone: 412-499-2206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: VIVEK GANDHI
Title or Position: OWNER
Credential:
Phone: 412-499-2206