DUANE A GILLAM (NPI# 1447281761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447281761 |
| Entity Type | Individual |
| Full Name | DUANE A GILLAM |
| Credential | O.D. |
| Practice Address |
638 S Earl Ave Lafayette IN 47904-3264 |
| Practice Telephone | 7654482711 |
| Practice Fax Number | 7654482995 |
| Mailing Telephone | 7654482711 |
| Mailing Fax Number | 7654482995 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001683B | IN | Eye and Vision Services Providers |
| Street Address |
638 S EARL AVE |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902045446 | Duane A Gillam | Optometrist | 638 S Earl Ave, Lafayette, IN 47904-3264 | 2009-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569864 | Meghan Held | Optometrist | 2210 Schuyler Ave, Lafayette, IN 47904-1229 | 2019-07-01 |
| 1659863264 | Daniel & Max, LLC | Optometrist | 5540 Johnston St Ste 101, Lafayette, LA 70503-5138 | 2018-05-31 |
| 1700308988 | Melissa Alane Lewis | Optometrist | 100 S Creasy Ln Ste 1530, Lafayette, IN 47905-0757 | 2017-07-10 |
| 1871015149 | Allison Heaslip | Optometrist | 2141 Sagamore Pkwy S, Lafayette, IN 47905-5109 | 2017-07-08 |
| 1467804922 | Britney Kitamata-wong | Optometrist | 3581 Mt Diablo Blvd Ste A, Lafayette, CA 94549 | 2016-07-08 |
| 1851749121 | Ossip Optometry, PC | Optometrist | 100 S Creasy Ln, Ste 1530, Lafayette, IN 47905-0751 | 2016-05-27 |
| 1366827586 | Carolyn Van | Optometrist | 201 Meadow Farm Dr., Inside of Costco, Lafayette, LA 70508 | 2015-07-29 |
| 1053660951 | Jennie Cho | Optometrist | 2677 Trailridge Dr W, Lafayette, CO 80026-3167 | 2012-09-06 |
| 1487900023 | Jessica E. Stafford | Optometrist | 5000 Ambassador Caffery Pkwy 13, Lafayette, LA 70508-6984 | 2012-08-01 |
| 1346506573 | Eyecare Indiana Ll, PC | Optometrist | 12 Professional Court, Lafayette, IN 47905-5152 | 2012-04-02 |
| Find all providers in LAFAYETTE | ||||
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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.