# EZRA L. GALLER, M.D., LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ezra L. Galler, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184630717
- **Authorized official:** EZRA L GALLER MD (OWNER/PROVIDER)
- **Authorized official phone:** (401) 728-1400

## Contact information

- **Practice address:** 100 HIGHLAND AVENUE, SUITE 304, PROVIDENCE, RI 02906
- **Practice address phone:** (401) 728-1400
- **Practice address fax:** (401) 270-9623
- **Mailing address:** 100 HIGHLAND AVENUE, SUITE 304, PROVIDENCE, RI 02865
- **Mailing address phone:** (401) 728-1400
- **Mailing address fax:** (401) 270-9623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | ODTA00502 | RI | — |
| 152W00000X | Optometrist | ODTG00496 | RI | — |
| 207W00000X | Ophthalmology Physician | 9005 | RI | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 05/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9025861 | — | RI |