Provider Demographics
NPI:1285019919
Name:GALLERIA EYECARE PLLC
Entity Type:Organization
Organization Name:GALLERIA EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:SOLTYS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-263-1023
Mailing Address - Street 1:12921 HILL COUNTRY BLVD
Mailing Address - Street 2:STED2-115
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6392
Mailing Address - Country:US
Mailing Address - Phone:512-263-1023
Mailing Address - Fax:
Practice Address - Street 1:12921 HILL COUNTRY BLVD
Practice Address - Street 2:STED2-115
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6392
Practice Address - Country:US
Practice Address - Phone:512-263-1023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty