IndividualActive
Gabriel Dery, O.D.
NPI 1730113291 · Corneal and Contact Management Optometrist · San Juan Capistrano, CA
Provider details
- NPI number
- 1730113291
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5841T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
28521 Paseo Diana
San Juan Capistrano, CA 92675-2905
Phone: (949) 275-7539
Fax: (949) 496-2034
Approximate (ZIP-level) locationGet directions
Mailing address
28521 Paseo Diana
San Juan Capistrano, CA 92675-2905
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.