DR. GARY LEE FILLMORE


Address: 9911 N Nevada St Ste B, Spokane, WA 99218
Phone: 5094845710

DR. GARY LEE FILLMORE (NPI# 1265413769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265413769
Entity Type Individual
Full Name DR. GARY LEE FILLMORE
Credential M.D.
Practice Address 9911 N Nevada St Ste B
Spokane
WA 99218
Mailing Address 9911 N Nevada St Ste B
Spokane
WA 99218-1298
Practice Telephone 5094845710
Practice Fax Number 5094871000
Mailing Telephone 5094845710
Mailing Fax Number 5094871000
Enumeration Date 2005-11-10
Last Update Date 2018-08-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology MD00049255 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA CRIME VICTIMS' COMPENSATION 8949273 01
DRUG ENFORCEMENT ADMINISTRATION FF0480462 01
WA MEDICARE PTAN G8874801 01
WA 8509440 05
WA PHYSICIAN AND SURGEON LICENSE MD00049255 01
WA DEPT OF LABOR AND INDUSTRIES 0239190 01
ID 808422000 05
RAILROAD MEDICARE P00642793 01

Office Location

Street Address 9911 N NEVADA ST STE B
City SPOKANE
State WA
Zip Code 99218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902071392 Eye Consultants, P.s. Clinic/Center 9911 N Nevada St Ste B, Spokane, WA 99218-1298 2008-04-25
1477621191 Michael Edward Derzay Optometrist 9911 N Nevada St Ste B, Spokane, WA 99218-1298 2006-12-01
1750459475 Sara Anne Edmons Optometrist 9911 N Nevada St Ste B, Spokane, WA 99218-1298 2006-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891282455 Timary Mathena Specialist/Technologist 11107 North Astor Road, Spokane, WA 99218 2018-04-19
1619423316 Hi5 Orthodontics Clinic/Center 9425 N Nevaa, Suite 100, Spokane, WA 99218 2016-09-01
1245689389 Heather Beats Massage Therapist 101 E. Hastings Rd. Ste G, Spokane, WA 99218 2016-06-09
1770979411 Sparks Massage LLC-dba Elements Masssage Massage Therapist 101 E. Hastings Rd., Spokane, WA 99218 2015-04-09
1902295363 Annabelle Morgan Midwife 11725 N Lincoln Ct, Spokane, WA 99218 2015-01-22
1578967543 Deana Marie Ray Massage Therapist 1231 N Division, Ste 105, Spokane, WA 99218 2014-10-20
1770909889 Krista Dye Occupational Therapist 9827 N Nevada, Spokane, WA 99218 2014-03-13
1265855845 Breanna Zeis Massage Therapist 624 W. Hastings, Suite 16, Spokane, WA 99218 2014-02-02
1730516642 Christie Nygaard Massage Therapist 101 E. Hastings Rd, Spokane, WA 99218 2013-10-09
1629312749 Michelle Reid Community Health Worker 10709 N Madison, Spokane, WA 99218 2012-11-15
Find all providers in zip 99218

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437429313 Ottiwell Wood Jones IIi Ophthalmology 202 E High Dr, Spokane, WA 99203-2811 2012-01-09
1053637702 Northwest Eyelid and Orbital Specialists, P.s. Ophthalmology 626 S Sheridan St, Spokane, WA 99202-1325 2010-04-20
1811191372 Jonathan G Haymore Ophthalmology 842 S. Cowley Street, Suite 1, 2, 3, Spokane, WA 99202 2007-06-11
1841405404 Kevin Scott Michels Ophthalmology 626 S. Sheridan St, Spokane, WA 99202-1234 2007-05-14
1386712008 David Nemser Cohen Ophthalmology 235 E Rowan Ste #107, Spokane, WA 99207-1240 2006-12-01
1982773313 Eye Consultants Ps Ophthalmology 235 E Rowan, Suite #107, Spokane, WA 99207-1240 2006-11-07
1821075516 Michael H Cunningham Sr. Ophthalmology 842 S Cowley St, Suite 1, 2, 3, Spokane, WA 99202-1234 2005-12-23
1558363911 Cynthia L Cilyo Ophthalmology 510 S Cowley St, Spokane, WA 99202-1332 2005-08-15
1538160437 Leachman Eye Institute, P.s. Ophthalmology 6419 N Monroe St, Spokane, WA 99208-4121 2005-08-02
1295733541 Fiona Jane Durcan Ophthalmology 427 S Bernard St, Spokane, WA 99204-2509 2005-07-11
Find all providers in SPOKANE

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City SPOKANE
Zip Code 99218

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Dataset Information

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.

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