Provider Demographics
NPI:1871480400
Name:POSZ, GABRIELLE ALLISON (OD)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ALLISON
Last Name:POSZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1355 W ALLEN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-3028
Mailing Address - Country:US
Mailing Address - Phone:317-603-4807
Mailing Address - Fax:
Practice Address - Street 1:3051 GARDEN AVE STE 159
Practice Address - Street 2:
Practice Address - City:JBSA FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-7537
Practice Address - Country:US
Practice Address - Phone:210-295-4362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18004586A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist