GAILEY EYE CLINIC LTD NPI 1275738908

NPI Information

NPI: 1275738908
Provider Name: GAILEY EYE CLINIC, LTD
Classification: Technician/Technologist - 156FX1100X
Entity Type: Organization

Specialization: Ophthalmic

Address:
4927 N GLEN PARK PLACE RD
PEORIA, IL
ZIP 61614
Phone: (309) 692-8460
Get Directions

GAILEY EYE CLINIC, LTD is an ophthalmic technician technologist in Peoria, IL. GAILEY EYE CLINIC, LTD NPI is 1275738908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4927 N GLEN PARK PLACE RD
PEORIA, IL
ZIP 61614-676
Phone: (309) 692-8460

The provider's authorized official is Rebecca Cox .
The authorized official title is Administrative Assistant and has the following contact phone number (309) 829-5311.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 5/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1100X	Technician/Technologist	Ophthalmic	042000963	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	616311	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	0225210004	MEDICARE NSC	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »