Provider Demographics
NPI:1477629194
Name:KARANGES, GAYLE A (OD)
Entity Type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:A
Last Name:KARANGES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2301 N COLLINS ST STE 124
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2662
Mailing Address - Country:US
Mailing Address - Phone:817-860-9050
Mailing Address - Fax:817-274-3280
Practice Address - Street 1:2301 N COLLINS ST STE 124
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-2662
Practice Address - Country:US
Practice Address - Phone:817-860-9050
Practice Address - Fax:817-274-3280
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3515GT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXUT12874Medicare UPIN
TX00E44BMedicare PIN
TX1092240001Medicare NSC