Individual provider Active NPI

Harper Breann Gillentine, OD

  • Optometrist
  • Goodyear, AZ
National Provider Identifier
1023853173
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002866 Issued in AZ
Practice address
1626 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1399
Phone
(713) 797-1010
NPI assigned
Jun 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11111TG TX
Optometrist 152W00000X OPT-002866 AZ Primary

Addresses

Primary practice location

1626 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1399

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (602) 598-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241210003239 TX Practitioner - Optometry 7416483706 Reassigns benefits to 1 organization
I20250717002266 AZ Practitioner - Optometry 7416483706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of the Incarnate Word School of Osteo Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1626 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-1399
Phone (602) 955-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002866AZMDOptometrist
11111TGTXMDOptometrist
11111TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jul 1, 2025 Accepting new patients
Eye Center of Texas LLP CurrentSince Sep 16, 2024 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jul 1, 2025 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

8435 E Baseline Rd
Ste C101
Mesa, AZ 85209

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

14239 W Bell Rd
Ste 216
Surprise, AZ 85374

14239 W Bell Rd
Ste 216219
Surprise, AZ 85374

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011

6565 West Loop S
Ste 650
Bellaire, TX 77401

100 Medical Center Blvd
#1
Conroe, TX 77304
Phone (936) 647-1520

Interoperability endpoints

  • Direct secure messaging: harper.gillentine.p11@direct.avp.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1023853173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "602-598-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 N LITCHFIELD RD STE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951399",
            "telephone_number": "713-797-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLENTINE",
        "first_name": "HARPER",
        "middle_name": "BREANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11111TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.