Gary Glen Willis is a Optometrist in Euless, Texas. Gary Glen Willis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gary Glen Willis is 1649399254. The last update date is 2007-07-08.
Gary Glen Willis's current location address is 2250 Fuller Wiser Rd, Euless, Texas. You can contact this provider via phone number 8176852544 and fax number 8175579721. The mailing address for Gary Glen Willis is 2250 Fuller Wiser Rd, Euless, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Glen Willis |
|---|---|
| Address | 2250 Fuller Wiser Rd, Euless, Texas |
| Phone Number | 8176852544 |
| Fax Number | 8175579721 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1649399254 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2250 Fuller Wiser Rd |
|---|---|
| City | Euless |
| State | Texas (TX) |
| Post Code | 76039 |
| Phone Number | 8176852544 |
| Fax Number | 8175579721 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 26497 |
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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 |
|---|---|---|---|
| 917804 | EYEMED |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Glen Willis by the Centers for Medicare & Medicaid Services?
The Gary Glen Willis has been issued the NPI (National Provider Identifier) 1649399254 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gary Glen Willis?
The Gary Glen Willis is situated at 2250 Fuller Wiser Rd, in the city of Euless, state of TX, with the zip code 76039.
What is Gary Glen Willis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Glen Willis is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did Gary Glen Willis receive its 1649399254 assignment from the Centers for Medicare & Medicaid Services?
The Gary Glen Willis was assigned its 1649399254 on 2007-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gary Glen Willis most recently updated or refreshed?
The details pertaining to the Gary Glen Willis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.