Gallup Eye Group LLC

NPI #1073090650 in Gallup, New Mexico

Provider Information

NPI Number: 1073090650
Entity Type: Organization
Organization Name: Gallup Eye Group LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 26, 2018
Last Updated: Jan 10, 2021

Practice Location

Address: 816 BOARDMAN DR
City: Gallup
State: New Mexico
ZIP Code: 87301-4711
Phone: (505) 339-2015

Authorized Official

Name: DR. BRANDI MCGRAW, OD
Title: PRESIDENT/OD
Phone: (505) 339-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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