Individual
GILLIAN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2376 GRAND CONCOURSE, BRONX, NY 10458-6907
(718) 365-6300
(718) 365-5620
Mailing address
406 LYDECKER ST, ENGLEWOOD, NJ 07631-1914
(201) 906-1376
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
006888
NY
152W00000X
Optometrist
Primary
27OA00592600
NJ
152W00000X
Optometrist
3940
MN
152W00000X
Optometrist
4070-35
WI
152W00000X
Optometrist
OEG002886
PA
152W00000X
Optometrist
OPT.0004101
CO
152W00000X
Optometrist
OPT003056
GA
152W00000X
Optometrist
OPT5016
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050865
—
NJ
05
—
03498217
—
NY
Enumeration date
08/31/2006
Last updated
12/16/2025
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