| Dr Harper Breann Gillentine, OD | |
|
1626 N Litchfield Rd Ste 110, Goodyear, AZ 85395-1399 | |
| (713) 797-1010 | |
| Not Available |
| Full Name | Dr Harper Breann Gillentine |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1626 N Litchfield Rd Ste 110, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023853173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11111TG (Texas) | Secondary |
| 152W00000X | Optometrist | OPT-002866 (Arizona) | Primary |
| Provider Name | Eye Center Of Texas Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720174485 PECOS PAC ID: 8224054259 Enrollment ID: O20051019000806 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harper Breann Gillentine, OD 63 S Rockford Dr Ste 220, Tempe, AZ 85288-6226 Ph: (602) 598-7491 | Dr Harper Breann Gillentine, OD 1626 N Litchfield Rd Ste 110, Goodyear, AZ 85395-1399 Ph: (713) 797-1010 |
Nationwide Optometry P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1170 N Estrella Pkwy Ste A105, Goodyear, AZ 85338 Phone: 623-932-0428 Fax: 623-932-7847 | |
Dr. Anna L.o. Moore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2580 N Litchfield Rd, Goodyear, AZ 85395 Phone: 623-932-2020 Fax: 623-932-2668 | |
Dr. Michael Brayden Lundquist, OD, FAAO, FSLS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2580 N Litchfield Rd, Goodyear, AZ 85395 Phone: 623-932-2020 | |
Dr. Brent J Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2580 N Litchfield Rd, Goodyear, AZ 85395 Phone: 623-932-2020 Fax: 623-932-2668 | |
Dr. Mary V Fisher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1626 N Litchfield Rd Ste 110, Goodyear, AZ 85395 Phone: 602-955-1000 Fax: 602-508-4830 | |
Dr. James Edward Mills, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14009 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-935-9784 |