Charles Rick Gilliam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1083 Issued in NC

Practice address

6425 Old Plank Rd Ste E
High Point, NC 27265-3277

Phone

(336) 886-7500

Fax

(336) 886-7505

NPI assigned

Jun 14, 2005

Reactivated

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Eye Associates of High Point OD PAGroup PAC ID 1759334360, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gilliam@triadeyeassociates.eyeclinicdirect.net

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.

• Triad Eye Associates of High Point OD PA

  • Optometrist
  • High Point, NC
  • NPI 1255399499
  Medicare reassignment Care Compare group NPD
• Triad Eye Associates OD PA

  • Optometrist
  • Archdale, NC
  • NPI 1649228669
  Medicare reassignment NPD
• Triad Eye Associates of Greensboro, OD PA

  • Optometrist
  • Greensboro, NC
  • NPI 1598072126
  Medicare reassignment NPD
• Nova Eye Care OD PA

  • Optometrist
  • Asheboro, NC
  • NPI 1609018019
  NPD (past)
• Triad Eye Associates of Asheboro OD PA

  • Optometrist
  • Asheboro, NC
  • NPI 1205894292
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1720083199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4370",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272634370",
            "telephone_number": "336-434-4033",
            "fax_number": "336-434-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 OLD PLANK RD STE E",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653277",
            "telephone_number": "336-886-7500",
            "fax_number": "336-886-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10564 N Main St Ste E",
            "address_purpose": "LOCATION",
            "city": "Archdale",
            "state": "NC",
            "postal_code": "272632483",
            "country_code": "US",
            "telephone_number": "336-434-4033",
            "fax_number": "336-434-4035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "CHARLES",
        "middle_name": "RICK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "09318",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Sharon Gifford
• Melinda H Gilbert
• Olivia Natalie Gilbert, MD
• Helen Elizabeth Giles, MD
• Frances Elizabeth Gill, LPC
• Hannah Hunt Gilliland
• Rebecca Miller Gilliland, RD, LDN
• Marcus Ryan Gillon, DMD
• Ginsburg & Ginsburg
• Alan Leyton Ginsburg, O.D.

• Optometrist in High Point, NC
• Providers in High Point, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.