Provider Demographics
NPI:1992848600
Name:DR. DAVID J. GALE OPTOMETRIST INC.
Entity Type:Organization
Organization Name:DR. DAVID J. GALE OPTOMETRIST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:GALE
Authorized Official - Suffix:I
Authorized Official - Credentials:OD
Authorized Official - Phone:440-248-2020
Mailing Address - Street 1:33541 AURORA RD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3705
Mailing Address - Country:US
Mailing Address - Phone:440-248-2020
Mailing Address - Fax:440-248-3425
Practice Address - Street 1:33541 AURORA RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3705
Practice Address - Country:US
Practice Address - Phone:440-248-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3026152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty