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NPI Code Detail

MEDICARE: EYE GAL LLC

MEDICARE: EYE GAL LLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1225968001
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE GAL LLC
Provider Business Mailing Address
First Line : 1980 S OCEAN DR APT 8J
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-5935
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 SE 15TH TER STE 102
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-4464
Country : US
Telephone Number : 954-428-2002
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VANESSA GAGLIANO
Credential : OD
Telephone Number : 954-907-0475
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “EYE GAL LLC ” Practice Location

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