MEDICARE: BRUCE DEVIN GILLILAND O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WL0500X	Low Vision Rehabilitation Optometrist	1593	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00317714	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4102823	OTHER	TN	BLUE CROSS BLUE SHILED
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184622441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE DEVIN GILLILAND O.D.

Provider Business Mailing Address
First Line	:	715 CALLAHAN DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-1302
Country	:	US
Telephone Number	:	865-687-1232
Fax Number	:	865-687-8256

Provider Business Practice Location Address
First Line	:	715 CALLAHAN DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-1302
Country	:	US
Telephone Number	:	865-687-1232
Fax Number	:	865-687-8256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	06/13/2014

Similar Medicare Providers

1053764803 — FRANK A CARUSONE O.D.
Practice Location Address:

715 CALLAHAN DR
KNOXVILLE, TN
37912-1302

Practice Phone: 865-687-1232
Practice Fax: 865-687-8256

1538901053 — DR. SETH ALEXANDER RHYNE OD
Practice Location Address:

715 CALLAHAN DR
KNOXVILLE, TN
37912-1302

Practice Phone: 865-437-3166
Practice Fax:

1376475293 — TAYLOR BRYNN FANN
Practice Location Address:

5645 MERCHANTS CENTER BLVD
KNOXVILLE, TN
37912-3470

Practice Phone: 865-257-9982
Practice Fax:

1730187915 — JUDY P HAVNER LCSW
Practice Location Address:

5112 SCHUBERT RD
KNOXVILLE, TN
37912-3832

Practice Phone: 865-687-7090
Practice Fax: 865-688-3767

1770583007 — MS. JUDITH O STANSBERRY LPC/MHSP
Practice Location Address:

109 STEKOIA LN
KNOXVILLE, TN
37912-1608

Practice Phone: 865-938-4381
Practice Fax: 865-938-4382

1346240462 — LAYKOON TAN HUANG MD MPH
Practice Location Address:

108 W INSKIP DR , SUITE B
KNOXVILLE, TN
37912-4058

Practice Phone: 865-687-2277
Practice Fax: 865-689-5336

Directions to “ BRUCE DEVIN GILLILAND O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.