| Gallup Eye Group Llc | |
|
816 Boardman Dr, Gallup, NM 87301-4711 | |
| (505) 339-2015 | |
| (505) 492-0904 |
| Full Name | Gallup Eye Group Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 816 Boardman Dr, Gallup, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073090650 | NPI | - | NPPES |
| 525331 | Medicaid | AZ | |
| 16438311 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Brandi Nichole Smith Mcgraw |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861631293 PECOS PAC ID: 8527125111 Enrollment ID: I20100601000814 |
| Provider Name | Matthew D Mcgraw |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558599217 PECOS PAC ID: 1355487646 Enrollment ID: I20161213002078 |
| Mailing Address | Practice Location Address |
|---|---|
| Gallup Eye Group Llc 816 Boardman Dr, Gallup, NM 87301-4711 Ph: (505) 339-2015 | Gallup Eye Group Llc 816 Boardman Dr, Gallup, NM 87301-4711 Ph: (505) 339-2015 |
Tayde Analy Contreras, OD Optometrist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Farid Elie Khoury, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 S 2nd St Ste 5, Gallup, NM 87301 Phone: 505-979-0894 Fax: 505-726-2871 | |
Eye Associates Of New Mexico Optometrist Medicare: Not Enrolled in Medicare Practice Location: 311 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-2268 Fax: 505-863-2874 | |
Dr. Walter Ernest Balfour, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 219 W Coal Ave, Gallup, NM 87301 Phone: 505-863-6448 Fax: 505-722-6491 | |
Jesse Allen Hogan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1326 | |
Dr. Jacqueline Agnes Grimm, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |