Provider Demographics
NPI:1811162514
Name:GAYLE A, KARANGES O.D. , P.A.
Entity type:Organization
Organization Name:GAYLE A, KARANGES O.D. , P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-860-9050
Mailing Address - Street 1:2301 N COLLINS ST
Mailing Address - Street 2:SUITE #124
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2659
Mailing Address - Country:US
Mailing Address - Phone:817-860-9050
Mailing Address - Fax:817-274-3280
Practice Address - Street 1:2301 N COLLINS ST
Practice Address - Street 2:SUITE #124
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-2659
Practice Address - Country:US
Practice Address - Phone:817-860-9050
Practice Address - Fax:817-274-3280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX258508Medicare PIN
TX1092240001Medicare NSC