Active NPI
Linda Darlene Gilliam, LICENSED OPTICIAN
- Optician
- Lexington, KY
National Provider Identifier
1437213519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1069
- Practice address
- 1555 E New Circle Rd
Suite 146
Lexington, KY 40509-1043 - Phone
- (859) 266-3003
- Fax
- (859) 266-9504
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1069 | KY | Primary |
Addresses
Primary practice location
1555 E New Circle Rd
Suite 146
Lexington, KY 40509-1043
Mailing address
1555 E New Circle Rd
Suite 146
Lexington, KY 40509-1043
Phone (859) 266-3003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52000049 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casak Woodhill LLC | Optician | Past | Accepting new patients |
| Steven Klecker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Lexington, KY
- NPI 1336317080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437213519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 E NEW CIRCLE RD",
"address_2": "SUITE 146",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091043",
"telephone_number": "859-266-3003",
"fax_number": "859-266-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 E NEW CIRCLE RD",
"address_2": "SUITE 146",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091043",
"telephone_number": "859-266-3003",
"fax_number": "859-266-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "LINDA",
"middle_name": "DARLENE",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "KY",
"license": "1069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52000049",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.