Individual
DR. JOHN ARTHUR GILLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8688 RUFFIAN LN, NEWBURGH, IN 47630-3411
(812) 853-8191
(812) 858-1470
Mailing address
8688 RUFFIAN LN, NEWBURGH, IN 47630-3411
(812) 853-8191
(812) 858-1470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002239B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089373
ANTHEM BCBS
IN
01
—
0160680001
MEDICARE ID FOR EYEGLASSE
IN
01
—
GI161240
CLARITY VISION
IN
Enumeration date
08/17/2005
Last updated
07/08/2007
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