National Provider Identifier Database

MARK A GILLISPIE O D INC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MARK A GILLISPIE O D INC
52565 HARRISON ST.
SUITE 105
COACHELLA, CA92236
Phone: 760-398-1500
Fax: 760-398-8474
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for MARK A GILLISPIE O D INC

NPI Number 1467621185
Legal business name
LBN
MARK A GILLISPIE O D INC
Authorized official MARK GILLISPIE - (OWNER / DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 02/27/2008
Last updated 06/12/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 8413T
  • CA Medicaid: GSD004740

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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