WL Gilmer, MD, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WL GILMER, MD, PA

Practice address

5111 S Ridgewood Ave
Suite 104
Port Orange, FL 32127-5170

Phone

(386) 256-1212

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. William Lewis Gilmer Jr., M.D.NPI 1194961151

Title

President

Phone

(386) 256-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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.

• William Lewis Gilmer Jr., M.D.

  • Ophthalmology Physician
  • Port Orange, FL
  • NPI 1194961151
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1669713384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 S RIDGEWOOD AVE",
            "address_2": "SUITE 104",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275170",
            "telephone_number": "386-256-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 S RIDGEWOOD AVE",
            "address_2": "SUITE 104",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275170",
            "telephone_number": "386-256-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WL GILMER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "GILMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-256-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008424200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Wilson, M.D.
• Norman E Wilson
• Victoria Rey Wilson, RMHCI
• Kimberly Wiltse
• Nicole Wimsatt
• Stacy Wojy
• Erin S Wolcott
• Brittany Wolf
• Deborah Wooding-Calcagni
• Siera Woodman, PHARMD

• Ophthalmology Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.