| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOHN PATRICK GALLAGHER | 1649908971 | 2023-08-21 |
John Patrick Gallagher is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649908971. Registration indicates John Patrick Gallagher is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| Entity Type | Individual |
| Provider Name | Dr. John Patrick Gallagher Jr. OD |
| Practice Office Address | 826 SE CARNIVAL AVE PORT SAINT LUCI, FL US |
| Practice Office Telephone | 7728120727 |
| Mailing Address | 826 SE CARNIVAL AVE PORT SAINT LUCIE, FL 349832710 US |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | OPC6168
FL |