| Ezra L. Galler, M.d., Ltd. | |
|
100 Highland Avenue, Suite 304, Providence, RI 02906 | |
| (401) 728-1400 | |
| (401) 270-9623 |
| Full Name | Ezra L. Galler, M.d., Ltd. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 100 Highland Avenue, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184630717 | NPI | - | NPPES |
| 9025861 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODTG00496 (Rhode Island) | Secondary |
| 152W00000X | Optometrist | ODTA00502 (Rhode Island) | Secondary |
| 207W00000X | Ophthalmology | 9005 (Rhode Island) | Primary |
| Provider Name | Heidi L Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952401978 PECOS PAC ID: 8921060542 Enrollment ID: I20041027000239 |
| Provider Name | Ezra Galler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336107382 PECOS PAC ID: 0941269385 Enrollment ID: I20041027000280 |
| Provider Name | Thomas R Leddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689631699 PECOS PAC ID: 1557399755 Enrollment ID: I20050729000111 |
| Provider Name | Matthew D Doyle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538412044 PECOS PAC ID: 5799938171 Enrollment ID: I20130115000309 |
| Provider Name | Kriti Bhagat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427464510 PECOS PAC ID: 3375760341 Enrollment ID: I20190618000223 |
| Provider Name | Brett Zerbinopoulos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144846478 PECOS PAC ID: 1850794371 Enrollment ID: I20210721002837 |
| Mailing Address | Practice Location Address |
|---|---|
| Ezra L. Galler, M.d., Ltd. 100 Highland Avenue, Suite 304, Providence, RI 02865 Ph: (401) 728-1400 | Ezra L. Galler, M.d., Ltd. 100 Highland Avenue, Suite 304, Providence, RI 02906 Ph: (401) 728-1400 |