DR GARY A EAGLE LLC
NPI 1013331909
Optometrist in West Orange, NJ

Q: What is Dr Gary A Eagle LLC's NPI number?

The NPI number for Dr Gary A Eagle LLC is 1013331909. It was assigned to this organization in the NPPES registry on February 12, 2014.

Q: What is Dr Gary A Eagle LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since February 12, 2014

414 EAGLE ROCK AVENUE, SUITE 206A, WEST ORANGE, NJ 07052(973) 325-0500(973) 325-0075 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr Gary A Eagle Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR GARY A EAGLE LLC (NPI 1013331909) is a healthcare organization registered as an optometrist in West Orange, New Jersey and active in the NPI registry since February 2014. The organization lists Gary A Eagle, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1013331909

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR GARY A EAGLE LLC

Location Address414 EAGLE ROCK AVENUE, SUITE 206AWest Orange, NJ 07052-4224

Mailing Address414 Eagle Rock Ave, Suite 206aWest Orange, NJ 07052-4229 · (973) 325-0500 · Fax (973) 325-0075

Phone(973) 325-0500

Fax(973) 325-0075

Organization SubpartNo

Authorized OfficialGary A EagleOptometrist/owner · (973) 325-0500

Enumeration DateFebruary 12, 2014

✔ NPI 1013331909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NJ · 27OA00457500

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

414 EAGLE ROCK AVENUE, West Orange, NJ 07052

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Other Identifiers 1

Medicare UPIN115334NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Gary A Eagle Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dr Gary A Eagle LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gary Eagle, O.D.

Optometry

NPI 1881750024

414 EAGLE ROCK AVE SUITE 206A
West Orange, NJ 07052

(973) 325-0500

✔ PECOSSame address

Nisha Chaudhari, OD

Optometry

NPI 1568072379

87 NASSAU ST
New York, NY 10038

(732) 977-6521

✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Gary A Eagle LLC's NPI number?

The NPI number for Dr Gary A Eagle LLC is 1013331909. It was assigned to this organization in the NPPES registry on February 12, 2014.

Where is Dr Gary A Eagle LLC located?

Dr Gary A Eagle LLC is located at 414 Eagle Rock Avenue Suite 206A, West Orange, NJ 07052. The listed phone number is (973) 325-0500.

What is Dr Gary A Eagle LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dr Gary A Eagle LLC enrolled in Medicare?

Yes. Dr Gary A Eagle LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Gary A Eagle LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Dr Gary A Eagle LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr Gary A Eagle LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Dr Gary A Eagle LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr Gary A Eagle LLC was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.