Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114907185 Individual Practitioner Male Practitioner

Dr. Chad Eldon Willis , OD

Optometrist • Hurlburt Field, FL

Professional Overview & Biography Verified Profile Summary

Dr. Chad Willis, OD is a registered healthcare professional specializing in Optometrist in Hurlburt Field, FL. Practice services are available at 113 LIELMANIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 Lielmanis Ave

Hurlburt Field, FL 325445613

Telephone 8508813918
Associated Practice Facility / Clinic
🏢 1st Spcl Ops Medgrp-Hurlburt Facility NPI 1568442630

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Hurlburt Field, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Hurlburt Field, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CO 3023

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IA 02329

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0470674 (IA)
Commercial Insurance / Payer ID Welllmark Bcbs
00864 (IA)

Secondary Practice Locations

559 Vincent St, 21 Amds/sgpe- Attn: Optometry

Peterson Afb, CO 809141540

Phone: 7195561065

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1174896740

Doctor of Optometry

NPI 1992154298

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2018

Registered at 113 LIELMANIS AVE, HURLBURT FIELD, FL 325445613 (Tel: 8508813918)

📍
Updated Business Mailing Address April 06, 2018

Registered at 113 LIELMANIS AVE, HURLBURT FIELD, FL 325445613 (Tel: 8508813918)

👤
Provider Name / Credentials Updated April 06, 2018

Recorded as CHAD WILLIS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2018

Optometrist (License #02329 in IA)

NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2013

Registered at 559 VINCENT ST, 21 AMDS/SGPE- ATTN: OPTOMETRY, PETERSON AFB, CO 809141540 (Tel: 7195561065)

📍
Updated Business Mailing Address July 31, 2013

Registered at 559 VINCENT ST, 21 AMDS/SGPE- ATTN: OPTOMETRY, PETERSON AFB, CO 809141540 (Tel: 7195561065)

👤
Provider Name / Credentials Updated July 31, 2013

Recorded as CHAD WILLIS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Optometrist (License #02329 in IA)

🟢
Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114907185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2006
Last Update: April 06, 2018
Sole Proprietor: No

Mailing Address

113 Lielmanis Ave

Hurlburt Field, FL 325445613

Phone: 8508813918

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.