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Physician Compare National (NPI:1639230923)

HEALTHCARE PROVIDER: GARY ALLAN OSIAS O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1639230923
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1557269156
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20081217000627
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name OSIAS
Individual professional last name
Provider First Name GARY
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Individual professional's medical school
Graduation Year 1980
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name FOR YOUR EYES ONLY OPHTHALMIC MEDICAL CORP
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4587977426
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2687 CASTRO VALLEY BLVD
Group Practice or individual's line 1 address
City CASTRO VALLEY
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 945465409
Group Practice or individual's zip code (9 digits when available)
Phone Number 5105811553
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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