Organization
DR GARY A EAGLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A EAGLE OD (OPTOMETRIST/OWNER)
(973) 325-0500
Entity
Organization
Contact information
Practice address
414 EAGLE ROCK AVENUE, SUITE 206A, WEST ORANGE, NJ 07052-4224
(973) 325-0500
(973) 325-0075
Mailing address
414 EAGLE ROCK AVE, SUITE 206A, WEST ORANGE, NJ 07052-4229
(973) 325-0500
(973) 325-0075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00457500
NJ
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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