Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gallup Eye Group LLC

Organization Optometrist · NPI 1073090650

Gallup Eye Group LLC is an Optometrist in Gallup, New Mexico. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

816 Boardman Dr
Gallup, NM 87301-4711
Phone: (505) 339-2015
Fax: (505) 492-0904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1073090650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandi McGraw — President/Od · (505) 339-2015
NPI enumeratedJuly 26, 2018
Last updated in NPPESJanuary 10, 2021
Certification dateJanuary 10, 2021
Mailing address816 Boardman Dr, Gallup, NM 87301-4711

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