Healthcare Provider Details

I. General information

NPI: 1275459547
Provider Name (Legal Business Name): CHRISTINE LYNN GILLIKIN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11834 COUNTY ROAD 101
THE VILLAGES FL
32162-9340
US

IV. Provider business mailing address

3579 GROUBY RD
THE VILLAGES FL
32163-0556
US

V. Phone/Fax

Practice location:
  • Phone: 352-753-4014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6993
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: