Provider Demographics
NPI:1235350133
Name:THE EYE GALLERY INC.
Entity Type:Organization
Organization Name:THE EYE GALLERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PARKER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-941-3930
Mailing Address - Street 1:609 E MCMURRAY RD
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3419
Mailing Address - Country:US
Mailing Address - Phone:724-941-3930
Mailing Address - Fax:724-941-1787
Practice Address - Street 1:609 E MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3419
Practice Address - Country:US
Practice Address - Phone:724-941-3930
Practice Address - Fax:724-941-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA592680OtherBLUE CROSS
PA0017386OtherDORAL
PA44750OtherDAVIS VISION
PA393668OtherNVA
PAOP0217OtherEYE MED
PA0017386OtherDORAL
PA0790100001Medicare ID - Type Unspecified