Individual
CHARLES RICK GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6425 OLD PLANK RD STE E, HIGH POINT, NC 27265-3277
(336) 886-7500
(336) 886-7505
Mailing address
PO BOX 4370, ARCHDALE, NC 27263-4370
(336) 434-4033
(336) 434-4035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09318
BCBSNC
NC
Enumeration date
06/14/2005
Last updated
04/15/2025
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