Cheryl Dawn Wilkins Gillespie, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO001761 Issued in GA

Practice address

855 N Church St
Thomaston, GA 30286-3622

Phone

(706) 648-9130

NPI assigned

Dec 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Cheryl Dawn Gillespie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1578034393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 A ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863127",
            "telephone_number": "706-656-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N CHURCH ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863622",
            "telephone_number": "706-648-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "CHERYL",
        "middle_name": "DAWN WILKINS",
        "name_prefix": "Mrs.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "GA",
            "license": "LDO001761",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "GA",
            "license": "LDO001761",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "GILLESPIE",
            "middle_name": "DAWN",
            "credential": "LDO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Suzanne Gamel, FNP
• William B Gardner, DMD
• Anna H Gassett, PHARMD
• Gentle Care Transport LLC
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• Gilmore Center, Inc.
• Carson Williams Gleaton, PHARMD
• Joyce Haygood Glisson, PHARM.D.
• Golden Recovery, LLC
• Dillon Gooch, DPT

• Optician in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.