Individual
DR. GARY A EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
414 EAGLE ROCK AVE, SUITE 206A, WEST ORANGE, NJ 07052-4229
(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
4575
NJ
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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