Russell M Gilliam (NPI# 1689775520, PAC ID# 6305949645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1689775520 |
| PAC ID by PECOS | 6305949645 |
| Professional Enrollment ID | I20070307000295 |
| Full Name | Russell M Gilliam |
| Organization Legal Name | EYECARE CENTER, LLC |
| Address |
107 Kennedy Dr Martin TN 38237-3309 |
| Phone Number | 7315873555 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1993 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9537231212 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 107 Kennedy Dr, Martin, TN 38237-3309 | 7315873555 | EYECARE CENTER, LLC |
| Organization Legal Name | EYECARE CENTER, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel W Donaldson Ii | Optometry | Eyecare Center, LLC | 107 Kennedy Dr, Martin, TN 38237-3309 |
| Street Address |
107 KENNEDY DR |
| City | MARTIN |
| State | TN |
| Zip | 38237-3309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel W Donaldson Ii | Optometry | Eyecare Center, LLC | 107 Kennedy Dr, Martin, TN 38237-3309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Wright | Optometry | Donald P Wright and A Peter Bukeavich Ptrs | 145 Kennedy Dr, Martin, TN 38237-0438 |
| Alfred Bukeavich | Optometry | Donald P Wright and A Peter Bukeavich Ptrs | 145 Kennedy Dr, Martin, TN 38237-0438 |
| William F Kimmer | Optometry | 134 Courtright Rd, Martin, TN 38237-1606 | |
| Kelly Elizabeth Rawls | Physician Assistant | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Kristina L Pollock | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Marcy Little | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Angela D Warren | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Jessica Millraney | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Sherry Gallimore | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Mark Vinson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Find all physicians in zip 38237 | |||
| City | MARTIN |
| Zip Code | 38237 |
| Specialty | OPTOMETRY |
| City + Specialty | MARTIN + OPTOMETRY |
Please comment or provide details below to improve the information on Russell M Gilliam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.