GARY GLEN WILLIS (NPI# 1649399254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649399254 |
| Entity Type | Individual |
| Full Name | GARY GLEN WILLIS |
| Credential | OD |
| Practice Address |
3851 S Cooper St Arlington TX 76015 |
| Mailing Address |
2250 Fuller Wiser Rd 21206 Euless TX 76039 |
| Practice Telephone | 8174687500 |
| Practice Fax Number | 8175579721 |
| Mailing Telephone | 8176852544 |
| Mailing Fax Number | 8175579721 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 26497 | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EYEMED | 917804 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558994681 | Gary Willis | Counselor | 3290 Meridian Rd, Columbus, OH 43232-4079 | 2020-02-18 |
| 1710050414 | Gary Howard Willis II | Occupational Therapist | 4473 Fox Ct, Chubbuck, ID 83202-2670 | 2006-11-17 |
| 1437148269 | Gary L Willis | Chiropractor | 317 N Main St, Alpharetta, GA 30009-2321 | 2005-10-14 |
| Street Address |
3851 S COOPER ST |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| 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 |
|---|---|---|---|---|
| 1386252617 | Candra' Yvonnie Hepburn | Optometrist | 4101 S Cooper St Ste 107, Arlington, TX 76015-4142 | 2020-07-22 |
| 1962024711 | Nova Optique and Eyecare | Optometrist | 672 N Glebe Rd, Arlington, VA 22203-2161 | 2020-05-15 |
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1306482385 | Med Southwest, Pllc | Optometrist | 4110 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| 1831747336 | Eye Smile Optometry Pllc | Optometrist | 4231 Columbia Pike, Suite 102, Arlington, VA 22204-3017 | 2019-08-28 |
| 1295393411 | Jonathan Anhduy Pham | Optometrist | 6851 Matlock Rd Ste 111, Arlington, TX 76002-3519 | 2019-06-03 |
| 1780146423 | Myeyedr Optometry of Massachusetts P C | Optometrist | 1328 Massachusetts Ave, Arlington, MA 02476-4111 | 2019-04-02 |
| 1811452162 | Daniel Max & Marcandrea LLC | Optometrist | 1705 N Collins St #141, Arlington, TX 76011 | 2019-01-31 |
| 1912480427 | Saima Hirani | Optometrist | 5520 S Cooper St Ste 110, Arlington, TX 76017-4457 | 2018-09-11 |
| 1790284461 | American Eyelabs LLC | Optometrist | 3601 S Cooper St Ste 100, Arlington, TX 76015-3467 | 2018-02-07 |
| Find all providers in ARLINGTON | ||||
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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.