Phillip R Gillette

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PHILLIP R GILLETTE

Doing business as

Eyeworld Vision Center

Practice address

1088 Industrial Pkwy Ste 4
Saraland, AL 36571-3708

Phone

(251) 675-3666

Fax

(251) 675-9366

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Phillip R Gillette, DONPI 1629170360

Title

Owner

Phone

(251) 675-3666

Specialties & licenses 2

Addresses

Other names 1

• Eyeworld Vision Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Randall Gillette

  • Optician
  • Saraland, AL
  • NPI 1629170360
  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1164292207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 INDUSTRIAL PKWY STE 4",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713708",
            "telephone_number": "251-675-3666",
            "fax_number": "251-675-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 INDUSTRIAL PKWY STE 4",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713708",
            "telephone_number": "251-675-3666",
            "fax_number": "251-675-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP R GILLETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-675-3666",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeworld Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optometry Exchange of Alabama, Inc
• Stephanie Beahn Overstreet, RN
• Mary Owen
• Bradford Armande Pettaway
• Emilija F Pflaum, PA
• Kinley Grace Phillips
• Krystal Powe, PHARM D
• Providence Healthcare Services
• Providence Healthcare Services
• Publix Alabama LLC

• Optometrist in Saraland, AL
• Providers in Saraland, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.