Provider Demographics
NPI:1568644425
Name:GILL OPTICAL, LTD
Entity Type:Organization
Organization Name:GILL OPTICAL, LTD
Other - Org Name:MY VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:KULJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-977-0725
Mailing Address - Street 1:10001 WESTHEIMER RD
Mailing Address - Street 2:SUITE 2910
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3151
Mailing Address - Country:US
Mailing Address - Phone:713-977-0725
Mailing Address - Fax:281-351-4098
Practice Address - Street 1:10001 WESTHEIMER RD
Practice Address - Street 2:SUITE 2910
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3151
Practice Address - Country:US
Practice Address - Phone:713-977-0725
Practice Address - Fax:281-351-4098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0202207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX IDENTIFICATION NUMBER