Active NPI
Harper Breann Gillentine, OD
- Optometrist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002866 | AZ | MD | Optometrist |
| 11111TG | TX | MD | Optometrist |
| 11111 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients | |
| Eye Center of Texas LLP | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Current | 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
- 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.
-
dba American Vision Partners
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1376574707
-
- Specialist
- Bellaire, TX
- NPI 1720174485
-
dba American Vision Partners
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1043910078
-
dba American Vision Partners
- Ophthalmology Physician
- Safford, AZ
- NPI 1649202771
-
dba American Vision Partners
- Ophthalmology Physician
- Cottonwood, AZ
- NPI 1013952522
-
dba American Vision Partners
- Ambulatory Surgical Clinic/Center
- Lake Havasu City, AZ
- NPI 1497727093
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.