Whalio Doctors

NPI 1013331909

Dr Gary a Eagle LLC

Organisation Optometrist West Orange, NJ

Practice location

Address
414 Eagle Rock Avenue Suite 206a, West Orange, NJ 07052-4224
Phone
(973) 325-0500
Fax
(973) 325-0075
Mailing address
414 Eagle Rock Ave Suite 206a, West Orange, NJ 07052-4229

Authorised official

Name
Gary a Eagle
Title
Optometrist/Owner
Phone
(973) 325-0500

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 27OA00457500 (NJ)

Registry record

NPI
1013331909
Entity type
Organization
NPI issued
12 Feb 2014
Record last updated
12 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.