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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DUANE A GILLAM, O.D.

Active Sole Proprietor

DUANE A GILLAM, O.D. is a Optometrist healthcare provider located in LAFAYETTE, Indiana. NPI 1447281761 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LAFAYETTE, IN

Registration Details

NPI Number
1447281761
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2006 (20.141387662715 yrs)
Last Updated
Apr 3, 2015
License
18001683B (IN)
Sole Proprietor
Yes

Practice Information

Address
638 S EARL AVE
LAFAYETTE, IN, 479043264
Browse IN providers · Browse ZIP 47904
Phone
7654482711
Fax
7654482995
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in LAFAYETTE, IN

Name Credential NPI
JEFFREY JON YOCUM O.D. 1912992439
JEFFERY JAY PASS OD 1265414064
LORETTA K TAYLOR O.D. 1285611848
JAMES R TANNER O.D. 1811974470
CHRISTINE D FINNEY O.D. 1720065386
MR. MATTHEW E EVANS O.D. 1922085513
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.