DR. CHAD ELDON WILLIS


Address: 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613
Phone: 8508813918

DR. CHAD ELDON WILLIS (NPI# 1114907185) 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) 1114907185
Entity Type Individual
Full Name DR. CHAD ELDON WILLIS
Credential O.D.
Practice Address 113 Lielmanis Ave
Hurlburt Field
FL 32544-5613
Practice Telephone 8508813918
Mailing Telephone 8508813918
Enumeration Date 2006-01-18
Last Update Date 2018-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3023 CO Eye and Vision Services Providers
N 152W00000X Optometrist 02329 IA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0470674 05
IA WELLLMARK BCBS 00864 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
559 Vincent St, 21 Amds/sgpe- Attn: Optometry, Peterson Afb, CO 809141540 7195561065 8668677926

Other Providers CHAD WILLIS

NPI Name Taxonomy Address Enumeration
1053598599 Chad C Willis Chiropractor 1565 E Leighfield Dr Ste 150, Meridian, ID 83646-5371 2008-01-28
1184190324 Chad Riley Willis Jr. Counselor 803 W Main St, Payson, AZ 85541-4993 2018-10-15
1184087959 Chad Willis Student in an Organized Health Care Education/Training Program 4301 W Markham St, Slot 531, Little Rock, AR 72205-7101 2016-03-30
1750432043 Chad D Willis Emergency Medicine 3214 Kethley Rd, Shawnee, OK 74804-9625 2007-01-15

Office Location

Street Address 113 LIELMANIS AVE
City HURLBURT FIELD
State FL
Zip Code 32544-5613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124020524 Sheridan Ann Martin Optometrist 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2005-08-15
1497374011 Austin Watson Military Health Care Provider 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2020-04-14
1245865120 Zachary E Lavoy Military Health Care Provider 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2020-03-11
1235779034 Jonathan James Sparks Military Health Care Provider 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2020-01-09
1619439700 Joshua Patterson Military Health Care Provider 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2019-04-05
1992276125 Patrick Ohara Military Health Care Provider 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2018-12-16
1669957791 Krista Simmons Social Worker 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2018-09-25
1538666276 Joanna Faith Trease Social Worker 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2018-04-10
1538699418 Erik M Waldrip Military Health Care Provider 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2017-06-14
1760918833 Ryan Weaver Dentist 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2017-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629527270 Jessica L Cardin Dietitian, Registered 1 Hume Drive, Hurlburt Field, FL 32544 2016-09-23
1366794828 Tatiana Margarita Soria Psychologist Hurlburt Field, Hurlburt Field, FL 32544 2012-10-09
1962761312 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Building 91012, Independence Drive, Hurlbert Afb, FL 32544 2012-05-04
1285968271 Daniel Milmo Family Medicine 113 Leimanis Ave, Hurlburt Field, FL 32544 2009-09-24
1962650341 Christine Michele Zastrow Psychologist 100 Servais Way, Bldg 90531, Hurlburt Field, FL 32544 2008-08-28
1831248079 Scott David Wright Dentist 113 Lielmanis Ave Bldg 91020, Hurlburt Field, FL 32544 2007-01-09
1437183209 National Vision, Inc. Eyewear Supplier (Equipment, not the service) Building 91012, Independence, Hurlburg Afb, FL 32544 2006-07-10
1053348375 Kevin Robert Fischer Physician Assistant 113 Liemanis Ave, 16th Mdg, Hurlburt Field, FL 32544 2006-06-26
1023444171 Malloree Jne Smith Psychologist 225 Bennett Ave, 1st Special Operations Support Squadron, Hurlburt Field, FL 32544 2013-09-20
1053460212 Elizabeth M Hevia-wright Dentist 113 Lielmanis Ave Bldg 91020, Hurlburt Field, FL 32544 2007-01-09
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124020524 Sheridan Ann Martin Optometrist 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2005-08-15
1306198155 Nikki L Lagendyk Optometrist 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2012-10-03
1003879123 Robert Kesead Jr. Optometrist 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 2006-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508466889 Eye Doctors Optical Outlets, Pa Optometrist 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 2020-10-27
1376142828 Edyta H Bogusz Optometrist 13073 Overstreet Rd, Windermere, FL 34786-6602 2020-10-25
1639778517 Tran Hue Luong Optometrist 3520 36th St N, Saint Petersburg, FL 33713-1412 2020-10-21
1902405822 Superior Eyes Optical, Inc Optometrist 6541 Superior Ave, Sarasota, FL 34231-5835 2020-10-21
1023615812 Bay Vision Inc Optometrist 6951 22nd Ave North, St. Petersburg, FL 33710 2020-10-05
1386241297 Simply See LLC Optometrist 1573 S Wickham Rd, Melbourne, FL 32904-3540 2020-10-04
1578170155 Zoran Mihajlovic Optometrist 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 2020-09-28
1245846237 Eye Health of Fort Meyersllc Optometrist 2277 First St, Fort Myers, FL 33901-2959 2020-09-16
1740893692 Drmaria Loulourgas Pa Optometrist 928 Curlew Rd, Dunedin, FL 34698-1901 2020-08-28
1770196131 Hamlin Eye Care, LLC Optometrist 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 2020-08-26
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Competitor

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City HURLBURT FIELD
Zip Code 32544

Improve Information

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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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