Organization
TERI GILL
Active
Other names
Gill Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
TERI S. GILL BUTLER OD (OWNER)
(870) 236-9371
Entity
Organization
Contact information
Practice address
2711 W KINGSHIGHWAY, SUITE 4, PARAGOULD, AR 72450-2604
(870) 236-9371
(870) 236-8984
Mailing address
2711 W KINGSHIGHWAY, SUITE 4, PARAGOULD, AR 72450-2604
(870) 236-9371
(870) 236-8984
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2531
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148781722
—
AR
05
—
160847722
—
AR
Enumeration date
05/25/2006
Last updated
04/18/2019
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