NPI 1790216778 · live from the CMS NPI Registry
Justin Travis Gagel, M.D.
Ophthalmology in Lexington, KY. National Provider Identifier 1790216778, active.
NPI record
| NPI | 1790216778 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 900 S Limestone Ctw 304, Lexington, KY 40536 |
| Practice phone | 859-323-9918 |
| Mailing address | 1932 Alcoa Hwy, Ste 255, Knoxville, TN 37920 |
| Enumerated | March 22, 2017 |
| Last updated | May 10, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 62873 (TN) |
| Ophthalmology | 207W00000X | R4397 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.