IndividualActive
Michael Gallaway
NPI 1457452237 · Pediatric Optometrist · Philadelphia, PA
Provider details
- NPI number
- 1457452237
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
- License
- OEG001315 (PA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone: (215) 276-6000
Approximate (ZIP-level) locationGet directions
Mailing address
36 W Lake Rd
Medford, NJ 08055-8104
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2012-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.