Duane A Gillam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001683B Issued in IN

Practice address

638 S Earl Ave
Lafayette, IN 47904-3264

Phone

(765) 448-2711

Fax

(765) 448-2995

NPI assigned

Jul 5, 2006

Last updated

Apr 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Duane a Gillam

  dba Lafayette Vision Care

  • Optometrist
  • Lafayette, IN
  • NPI 1902045446
  Authorized official Same address or phone
• Evans Eye Care Inc

  dba Evans & Taylor Eye Care Group

  • Optometrist
  • Lafayette, IN
  • NPI 1992784599
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1447281761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 S EARL AVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043264",
            "telephone_number": "765-448-2711",
            "fax_number": "765-448-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 S EARL AVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043264",
            "telephone_number": "765-448-2711",
            "fax_number": "765-448-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAM",
        "first_name": "DUANE",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001683B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Gick, DNP, CPNP
• Nicole Gick
• Skyler Gick, DO
• Sydney Giddens, RBT
• Judy Elaine Gilbert
• Jessica Gillespie, PT, DPT
• Nicole Gilmore, PHARMD
• Gianna Giovanello
• Antonio Jose Giron
• Emma Rosa Giron, DTA

• Optometrist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.