Chad Eldon Willis in Hurlburt Field - Optometrist
Chad Eldon Willis - NPI 1114907185
Chad Eldon Willis is a Optometrist in Hurlburt Field, Florida. Chad Eldon Willis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Chad Eldon Willis is 1114907185. The last update date is 2018-04-06.
Chad Eldon Willis's current location address is 113 Lielmanis Ave, Hurlburt Field, Florida. You can contact this provider via phone number 8508813918. The mailing address for Chad Eldon Willis is 113 Lielmanis Ave, Hurlburt Field, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Eldon Willis |
|---|---|
| Address | 113 Lielmanis Ave, Hurlburt Field, Florida |
| Phone Number | 8508813918 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1114907185 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2018-04-06 |
Provider Mailing Address Detail
| Address | 113 Lielmanis Ave |
|---|---|
| City | Hurlburt Field |
| State | Florida (FL) |
| Post Code | 325445613 |
| Phone Number | 8508813918 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2329 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 470674 | IA | -- | |
| 864 | IA | WELLLMARK BCBS |
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What is the unique identification code assigned to Chad Eldon Willis by the Centers for Medicare & Medicaid Services?
The Chad Eldon Willis has been issued the NPI (National Provider Identifier) 1114907185. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Chad Eldon Willis is physically located?
The Chad Eldon Willis is situated at the following address: 113 Lielmanis Ave, Hurlburt Field, FL 325445613.
What is the area of specialization for Chad Eldon Willis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chad Eldon Willis is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When did the Chad Eldon Willis receive its 1114907185?
The Chad Eldon Willis was issued its 1114907185 on 2006-01-18, which is the date when the organization was assigned this unique identifier.
As of what date were the Chad Eldon Willis's details last updated?
The information pertaining to the Chad Eldon Willis, including its address, specialty, and other details, was most recently updated on 2018-04-06.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY