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GALLUP EYE GROUP LLC
NPI 1073090650
Optometrist in Gallup, NM

Active since July 26, 2018
816 BOARDMAN DR, GALLUP, NM 87301(505) 339-2015(505) 492-0904 Get Directions Write a Review

NPPES record last updated: January 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 10, 2021, May 26, 2020, Jul 26, 2018 (3 updates tracked since 2018).

About Gallup Eye Group Llc NPPES

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

GALLUP EYE GROUP LLC (NPI 1073090650) is a healthcare organization registered as an optometrist in Gallup, New Mexico and active in the NPI registry since July 2018. The organization lists Brandi Mcgraw, President/od, as its authorized official.

NPPES Registry Identity

NPI1073090650
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGALLUP EYE GROUP LLC
Location Address816 BOARDMAN DRGallup, NM 87301-4711
Mailing Address816 Boardman DrGallup, NM 87301-4711 · (505) 339-2015 · Fax (505) 492-0904
Phone(505) 339-2015
Fax(505) 492-0904
Organization SubpartNo
Authorized OfficialBrandi McgrawPresident/od · (505) 339-2015
Enumeration DateJuly 26, 2018
Last NPPES UpdateJanuary 10, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2021
✔ NPI 1073090650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
816 BOARDMAN DR, Gallup, NM 87301
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Other Identifiers 2

Medicaid525331AZ
Medicaid16438311NM

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 Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.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)

Gallup Eye Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gallup Eye Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brandi Mcgraw, O.D.
Optometry
NPI 1861631293
816 BOARDMAN DR
Gallup, NM 87301
(505) 339-2015
✔ PECOS✔ Accepts MedicareSame address
Matthew Mcgraw, OD
Optometry
NPI 1558599217
816 BOARDMAN DR
Gallup, NM 87301
(505) 339-2015
✔ PECOS✔ Accepts MedicareSame address

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 Gallup Eye Group LLC's NPI number?

The NPI number for Gallup Eye Group LLC is 1073090650. It was assigned to this organization in the NPPES registry on July 26, 2018.

Where is Gallup Eye Group LLC located?

Gallup Eye Group LLC is located at 816 Boardman Dr, Gallup, NM 87301. The listed phone number is (505) 339-2015.

What is Gallup Eye Group LLC's specialty?

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

Is Gallup Eye Group LLC enrolled in Medicare?

Yes. Gallup Eye Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gallup Eye Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Gallup Eye Group 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gallup Eye Group LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 5 other insurers list Gallup Eye Group 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 Gallup Eye Group LLC was last updated on January 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.