Robert F Gilligan

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1169 Issued in MD

Legal business name

ROBERT F GILLIGAN

Doing business as

Gilligan's Eye-Land

Practice address

1052 W Patrick St
Frederick, MD 21703-3963

Phone

(301) 620-7307

Fax

(301) 696-1022

NPI assigned

Jun 7, 2011

Last updated

Jun 7, 2011By 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

Dr. Robert F. Gilligan, O.D.NPI 1063588150

Title

Owner

Phone

(601) 620-7307

Specialties & licenses 1

Addresses

Other names 1

• Gilligan's Eye-Land Doing business as

Locations

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.

• Robert Francis Gilligan, O.D.

  • Optometrist
  • Frederick, MD
  • NPI 1063588150
  NPD (past) Authorized official

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1902190952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033963",
            "telephone_number": "301-620-7307",
            "fax_number": "301-696-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033963",
            "telephone_number": "301-620-7307",
            "fax_number": "301-696-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F GILLIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "GILLIGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-620-7307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilligan's Eye-Land",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harleigh Brice Robbins, LCPC, LPC, LGPC
• Kai Micah Robbins, LMT
• Robert Bruce Hodges, M.D. P.a. (Frederick Eye Institute)
• Robert D Crouch, MD, PA
• Robert E. Parnes, M.D., LLC (Mid Atlantic Retina Specialists)
• Robert G. Ray, DMD PC
• Roberts Home Medical LLC
• Roberts Home Medical LLC
• Angela Roberts, PT
• Mien Meisie Roberts, PHARMACIST

• Optometrist in Frederick, MD
• Providers in Frederick, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.