MEDICARE: DR. FRANK LOUIS GALIZIA OD

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	TUV006353	NY
2	152W00000X	Optometrist	OE000185	PA
3	152W00000X	Optometrist	OEG185	PA
4	152W00000X	Optometrist	2155	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	410044990	OTHER	PA	RR MEDICARE PIN
3	CC8362	OTHER	NY	RR MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2155	OTHER	SC	STATE LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770552242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK LOUIS GALIZIA OD

Provider Business Mailing Address
First Line	:	3525 PARK AVENUE BLVD
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29466-7242
Country	:	US
Telephone Number	:	570-888-5858
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 PARK AVENUE BLVD
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29466-7242
Country	:	US
Telephone Number	:	843-375-7036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	11/19/2024

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