Provider Demographics
NPI:1790216778
Name:GAGEL, JUSTIN TRAVIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:TRAVIS
Last Name:GAGEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1932 ALCOA HWY
Mailing Address - Street 2:STE 255
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1508
Mailing Address - Country:US
Mailing Address - Phone:865-244-2030
Mailing Address - Fax:865-684-1196
Practice Address - Street 1:900 S LIMESTONE CTW 304
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-323-9918
Practice Address - Fax:859-323-1197
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2021-05-10
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Provider Licenses
StateLicense IDTaxonomies
TN62873207W00000X
KYR4397207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology