Provider Demographics
NPI:1407894991
Name:GALVIN EYES, LLC
Entity Type:Organization
Organization Name:GALVIN EYES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:856-227-5308
Mailing Address - Street 1:137 GREENTREE RD
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1569
Mailing Address - Country:US
Mailing Address - Phone:856-227-5308
Mailing Address - Fax:
Practice Address - Street 1:137 GREENTREE RD
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1569
Practice Address - Country:US
Practice Address - Phone:856-227-5308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00547700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2714047000OtherKEYSTONE HPE
NJ125733OtherAETNA
NJ7041798OtherAETNA
NJ2714047000OtherAMERIHEALTH INS CO NJ
NJ125733OtherAETNA
NJ5743040001Medicare NSC
NJ=========OtherHORIZON BC/BS