Charles Rick Gilliam, OD | |
311 Trindale Rd, Ste D, Archdale, NC 27263-2771 | |
(336) 434-4033 | |
(336) 434-4035 |
Full Name | Charles Rick Gilliam |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 42 Years |
Location | 311 Trindale Rd, Archdale, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720083199 | NPI | - | NPPES |
8909318 | Medicaid | NC | |
09318 | Other | NC | BCBSNC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1083 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triad Eye Associates Of High Point Od Pa | 1759334360 | 4 |
Triad Eye Associates Od Pa | 8426010513 | 4 |
Provider Name | Triad Eye Associates Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649228669 PECOS PAC ID: 8426010513 Enrollment ID: O20041101000720 |
Provider Name | Triad Eye Associates Of High Point Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255399499 PECOS PAC ID: 1759334360 Enrollment ID: O20080812000190 |
Provider Name | Triad Eye Associates Of Greensboro Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598072126 PECOS PAC ID: 3779777107 Enrollment ID: O20101029001119 |
Mailing Address | Practice Location Address |
---|---|
Charles Rick Gilliam, OD 311 Trindale Rd, Ste D, Archdale, NC 27263-2771 Ph: (336) 434-4033 | Charles Rick Gilliam, OD 311 Trindale Rd, Ste D, Archdale, NC 27263-2771 Ph: (336) 434-4033 |
Mitchell N Evans, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10564 N Main St Ste E, Archdale, NC 27263 Phone: 336-434-4033 Fax: 336-434-4035 | |
Triad Eye Associates Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 10564 N Main St, Suite E, Archdale, NC 27263 Phone: 336-434-4033 Fax: 336-434-6680 | |
Cathy A Fulp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10564 N Main St, Ste E, Archdale, NC 27263 Phone: 336-434-4033 Fax: 336-434-4035 |