Organization
GALLUP EYE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDI MCGRAW OD (PRESIDENT/OD)
(505) 339-2015
Entity
Organization
Contact information
Practice address
816 BOARDMAN DR, GALLUP, NM 87301-4711
(505) 339-2015
(505) 492-0904
Mailing address
816 BOARDMAN DR, GALLUP, NM 87301-4711
(505) 339-2015
(505) 492-0904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16438311
—
NM
05
—
525331
—
AZ
Enumeration date
07/26/2018
Last updated
01/10/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up