Teri Gill

Primary specialty

OptometristTaxonomy code 152W00000X

License

2531 Issued in AR

Legal business name

TERI GILL

Doing business as

Gill Eye Care

Practice address

2711 W Kingshighway
Suite 4
Paragould, AR 72450-2604

Phone

(870) 236-9371

Fax

(870) 236-8984

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Teri S. Gill Butler, ODNPI 1366406654

Title

Owner

Phone

(870) 236-9371

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gill Eye Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Teri S. Gill Butler, OPTOMITRIST

  • Optometrist
  • Paragould, AR
  • NPI 1366406654
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1174579858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W KINGSHIGHWAY",
            "address_2": "SUITE 4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502604",
            "telephone_number": "870-236-9371",
            "fax_number": "870-236-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W KINGSHIGHWAY",
            "address_2": "SUITE 4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502604",
            "telephone_number": "870-236-9371",
            "fax_number": "870-236-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI GILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "GILL BUTLER",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-236-9371",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148781722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160847722",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gilleye@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2711 W Kingshighway",
            "address_2": "Suite 4",
            "city": "Paragould",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724502604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gill Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gill Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Taylor
• Kali Jamila Taylor
• Katey Taylor, DNP, PMHNP-BC
• Shamalar Taylor
• Lana Fay Tedder, RN
• Nichole Terry
• Amanda Thomas, QBHP
• Stephanie Thomas, MCD CCC-SLP
• Angelia Kay Tucker Thompson, D.C.
• Bobby Aaron Thompson, M.D.

• Optometrist in Paragould, AR
• Providers in Paragould, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.