Organization
DUANE A GILLAM
Active
Other names
Lafayette Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE A GILLAM OD (OWNER)
(765) 448-2711
Entity
Organization
Contact information
Practice address
638 S EARL AVE, LAFAYETTE, IN 47904-3264
(765) 448-2711
(765) 448-2995
Mailing address
638 S EARL AVE, LAFAYETTE, IN 47904-3264
(765) 448-2711
(765) 448-2995
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001683B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230920
—
IN
Enumeration date
02/06/2009
Last updated
05/24/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us