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Contact Information

RODNEY N GILLILAND, OD
80 B VETERANS BLVD
ACOMA, NM87034
 Phone: 505-552-5300
 Fax: 505-552-5490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RODNEY N GILLILAND · (Male)

NPI Number 1801800016
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/27/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 6929T
  • UT License # 8301949-9934
  • NM Medicaid H3450
Hospital affiliation(s)
  • MESCALERO PHS INDIAN HOSPITAL - (Acute Care)
    P O BOX 210
    MESCALERO, NM 88340
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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