BRUCE DEVIN GILLILAND (NPI# 1184622441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184622441 |
Entity Type | Individual |
Full Name | BRUCE DEVIN GILLILAND |
Credential | O.D. |
Practice Address |
715 Callahan Dr Knoxville TN 37912-1302 |
Practice Telephone | 8656871232 |
Practice Fax Number | 8656878256 |
Mailing Telephone | 8656871232 |
Mailing Fax Number | 8656878256 |
Enumeration Date | 2005-07-11 |
Last Update Date | 2014-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1593 | TN | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3941143 | 05 | |
TN | BLUE CROSS BLUE SHILED | 4102823 | 01 |
KY | 77620342 | 05 | |
TN | RAILROAD MEDICARE | P00317714 | 01 |
VA | 010168864 | 05 |
Street Address |
715 CALLAHAN DR |
City | KNOXVILLE |
State | TN |
Zip Code | 37912-1302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154975324 | Taylor N Greene | Optometrist | 715 Callahan Dr, Knoxville, TN 37912-1302 | 2019-07-26 |
1053764803 | Frank A Carusone | Optometrist | 715 Callahan Dr, Knoxville, TN 37912-1302 | 2016-07-18 |
1700845450 | David A Patton | Optometrist | 715 Callahan Dr, Knoxville, TN 37912 | 2006-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
1063891620 | Sondra Haley | Counselor | 4610 Central Avenue Pike, Knoxville, TN 37912 | 2015-05-28 |
1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
1265876940 | Annette Elise Long | Counselor | 4303 Central Ave.pike, Knoxville, TN 37912 | 2013-04-24 |
1346510393 | Lisa Taylor | Social Worker | 5800 Central Avenue Pike, Knoxville, TN 37912 | 2012-01-09 |
1447437447 | David Wesley Dickey IIi | Dentist | 5317 Clinton Hwy, Knoxville, TN 37912 | 2008-01-22 |
1962683573 | Eyexcel, Pllc | Optometrist | 715 Callahan Dr., Knoxville, TN 37912 | 2007-11-26 |
1538384995 | Chamberlain Chiropractic Clinic Inc | Chiropractor | 4409 Central Ave Pk, Suite 102, Knoxville, TN 37912 | 2007-04-13 |
1336232834 | Wesley Bruce Mclaughlin | Chiropractor | 2330 Merchants Dr., Knoxville, TN 37912 | 2006-10-02 |
1972073815 | Pell Enterprises | Home Health | 4303 Central Avenue Pike, Kno, TN 37912 | 2018-12-04 |
Find all providers in zip 37912 |
Taxonomy Code | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972773349 | Low Vision Center, Inc. | Optometrist | 1124 E Weisgarber Rd, Suite 204, Knoxville, TN 37909-2686 | 2008-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003854001 | Medical Personnel Services LLC | Optometrist | 100 E Vine St, Murfreesboro, TN 37130-3734 | 2006-06-02 |
1346752474 | Politzer Consulting Group LLC | Optometrist | 144 Timberline Dr, Franklin, TN 37069-7170 | 2017-10-30 |
1376793455 | Michael R. Politzer, O.d., Co | Optometrist | 5300 Maryland Way, Suite 160, Brentwood, TN 37027-5074 | 2008-09-24 |
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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.