Michael B. Guillory, MD., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

F2271 Issued in TX

Legal business name

MICHAEL B. GUILLORY, MD., P.A.

Practice address

3209 N 4TH St
Suite 100
Longview, TX 75605-5145

Phone

(903) 757-4662

NPI assigned

Aug 23, 2006

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael B GuilloryNPI 1912938754

Title

President

Phone

(903) 757-4662

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: mguillory@longviewophthalmology.direct.eyemdemr.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael B Guillory, M.D.

  • Ophthalmology Physician
  • Longview, TX
  • NPI 1912938754
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1619084258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 N 4TH ST",
            "address_2": "SUITE 100",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055145",
            "telephone_number": "903-757-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 N 4TH ST",
            "address_2": "SUITE 100",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055145",
            "telephone_number": "903-757-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. GUILLORY, MD., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-757-4662"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F2271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mguillory@longviewophthalmology.direct.eyemdemr.com",
            "affiliation": "N",
            "address_1": "3209 N 4th St",
            "address_2": "Suite 100",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756055145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ophthalmology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.