MEDICARE: GALLOWAY EYE CARE PROFESSIONALS, INC.

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	152W00000X	Optometrist	5635	OH

General Provider Information

NPI Number	:	1114083938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALLOWAY EYE CARE PROFESSIONALS, INC.

Provider Business Mailing Address
First Line	:	5670 W BROAD ST
Second Line	:
City	:	GALLOWAY
State	:	OH
Zip	:	43119-8127
Country	:	US
Telephone Number	:	614-853-2020
Fax Number	:	614-853-0154

Provider Business Practice Location Address
First Line	:	5688 W BROAD ST STE A
Second Line	:
City	:	GALLOWAY
State	:	OH
Zip	:	43119-8127
Country	:	US
Telephone Number	:	614-853-2020
Fax Number	:	614-853-0154

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JENNIFER ANN MATTSON
Credential	:	O.D.
Telephone Number	:	614-853-2020

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/30/2024

Similar Medicare Providers

1518972553 — WALGREEN CO
Practice Location Address:

5690 W BROAD ST
GALLOWAY, OH
43119-8127

Practice Phone: 614-870-7816
Practice Fax:

1255433199 — DR. JENNIFER ANN MATTSON O.D.
Practice Location Address:

5688 W BROAD ST , SUITE A
GALLOWAY, OH
43119-8127

Practice Phone: 614-853-2020
Practice Fax:

1053472456 — THAI PHAM RPH
Practice Location Address:

5690 W BROAD ST
GALLOWAY, OH
43119-8127

Practice Phone: 614-870-7816
Practice Fax:

1750502696 — VICKY HUMPHREY PT
Practice Location Address:

5672 W BROAD ST
GALLOWAY, OH
43119-8127

Practice Phone: 614-878-9000
Practice Fax: 614-878-8881

1740500693 — OHIO LIFE BALANCE PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice Location Address:

5672 W BROAD ST
GALLOWAY, OH
43119-8127

Practice Phone: 614-878-9000
Practice Fax: 614-878-8881

1881983310 — AMY CAYWARD LADU M.P.T.
Practice Location Address:

5672 W BROAD ST
GALLOWAY, OH
43119-8127

Practice Phone: 614-878-9000
Practice Fax:

Directions to “GALLOWAY EYE CARE PROFESSIONALS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.