NPI 1366484479 · live from the CMS NPI Registry
John N Gillespie, MD
Ophthalmology in Russellville, AR. National Provider Identifier 1366484479, active.
NPI record
| NPI | 1366484479 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2711 E Parkway Dr, Russellville, AR 72802 |
| Practice phone | 479-968-7302 |
| Mailing address | 1235 Cambridge Rd, Benton, AR 72019 |
| Enumerated | June 12, 2006 |
| Last updated | June 12, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | E2388 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.