Charles Rick Gilliam, O.D.
Optometrist in High Point, NC. Individual provider (NPI-1).
NPI number1720083199
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1720083199
- Entity type
- Individual (NPI-1)
- Name
- Charles Rick Gilliam
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2005
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1083 | NC | Yes |
Practice location
6425 Old Plank Rd Ste EHigh Point, NC 27265-3277
Phone 336-886-7500 · Fax 336-886-7505
Mailing address
Po Box 4370Archdale, NC 27263-4370
Phone 336-434-4033 · Fax 336-434-4035
Other practice locations
10564 N Main St Ste E
Archdale, NC 27263-2483
Archdale, NC 27263-2483
Phone 336-434-4033 · Fax 336-434-4035
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Optometrist providers in High Point · All 2,994 providers in High Point
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