PAUL D WILLIS (NPI# 1114959376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114959376 |
| Entity Type | Individual |
| Full Name | PAUL D WILLIS |
| Credential | LDO |
| Practice Address |
3131 Pio Nono Ave Macon GA 31206-3027 |
| Practice Telephone | 4787812818 |
| Practice Fax Number | 4787469865 |
| Mailing Telephone | 4787812818 |
| Mailing Fax Number | 4787469865 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO001314 | GA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830653 | Paul William Willis | Pharmacist | 807 S. Main St., Yreka, CA 96097 | 2011-07-07 |
| 1518909761 | Paul William Willis Jr. | Family Medicine | 1305 W. Arrow Hwy., Ste.106, San Dimas, CA 91773 | 2006-06-12 |
| 1780230615 | Paul Willis | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-08-15 |
| 1649603390 | Paul S Willis | Hospitalist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2013-08-16 |
| 1235408477 | Paul V Willis | Physical Medicine & Rehabilitation | 750 E Walker St Ste A, Orland, CA 95963-2222 | 2011-12-16 |
| 1699864322 | Paul Jay Willis | Dentist | 4709 Golf Rd, #1005, Skokie, IL 60076-1231 | 2006-10-12 |
| 1083718217 | Paul S Willis | Psychiatry & Neurology | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2006-09-08 |
| 1104835180 | Paul M Willis | Specialist | 27 Heckel Rd, Suite 213, Mc Kees Rocks, PA 15136-1616 | 2006-08-07 |
| 1184614703 | Paul L Willis | Emergency Medicine | 60 Hospital Rd, Leominster, MA 01453-2205 | 2005-10-25 |
| Street Address |
3131 PIO NONO AVE |
| City | MACON |
| State | GA |
| Zip Code | 31206-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558407072 | Sight for Sore Eyes | Optometrist | 3131 Pio Nono Ave, Macon, GA 31206-3027 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| Find all providers in zip 31206 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285873398 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4640 Presidential Pkwy Ste B, Macon, GA 31206-8727 | 2009-02-12 |
| 1891951703 | Jessica A Wilson | Technician/Technologist | 1376 Gray Hwy, Macon, GA 31211-1952 | 2008-07-30 |
| 1619090354 | North Macon Eyecare | Technician/Technologist | 4445 Forsyth Rd, Macon, GA 31210-4525 | 2007-04-09 |
| 1407992977 | Downtown Opticians, Inc | Technician/Technologist | 3933 Bloomfield Rd, Macon, GA 31206-3615 | 2007-01-30 |
| 1518177849 | Oldham's Opticians, Inc. | Technician/Technologist | 518 Mulberry St, Macon, GA 31201-2700 | 2007-05-23 |
| 1033321369 | Caldwell & Son Opticians Inc | Technician/Technologist | 684 1st St, Macon, GA 31201-2851 | 2007-05-07 |
| 1952447468 | Susan M Nelson | Technician/Technologist | 236 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2007-01-30 |
| 1578613659 | Eye Physicians Professional Association | Technician/Technologist | 626 1st St, Macon, GA 31201-2805 | 2007-01-11 |
| 1023192622 | Wal-mart Stores East, Lp | Technician/Technologist | 6020 Harrison Rd, Macon, GA 31206-4742 | 2006-10-24 |
| 1790868933 | Wal-mart Stores East, Lp | Technician/Technologist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2006-10-23 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.