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Dr. Chad Eldon Willis , OD

Optometrist β€’ Hurlburt Field, FL

Active NPI 1114907185 Individual Practitioner Male Practitioner
Practice location in NPPES

113 Lielmanis Ave
Hurlburt Field, FL 325445613

Call 8508813918 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

113 Lielmanis Ave

Hurlburt Field, FL 325445613

Telephone 8508813918
Organization at the Same NPPES Address or Phone
1st Spcl Ops Medgrp-Hurlburt Facility NPI 1568442630

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Peterson Afb, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hurlburt Field and Florida

6 active clinicians are listed under Optometrist with a practice address in Hurlburt Field, FL (3,613 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0470674 (IA)
Other Identifier Welllmark Bcbs
00864 (IA)

Secondary Practice Locations

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

Peterson Afb, CO 809141540

Phone: 7195561065

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Dr. Alexandria Barton , DO

Military Health Care Provider

NPI 1316689300

Doctor of Osteopathic Medicine (D.O.)

Wendy Born , CNP

Nurse Practitioner - Family

NPI 1023552155

Certified Nurse Practitioner

Dr. Kerry Brantly , DDS

Dentist - General Practice

NPI 1891800942

Doctor of Dental Surgery

Dr. Ronald Day , DO, MPH

Preventive Medicine - Aerospace Medicine

NPI 1174599476

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. Matthew Edgar , DO

Emergency Medicine

NPI 1104356880

Doctor of Osteopathic Medicine (D.O.)

Allie Foster , APRN

Nurse Practitioner - Family

NPI 1407375728

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
βœ…
NPI Profile Active April 06, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 06, 2018

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

πŸ“
Updated Business Mailing Address April 06, 2018

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

🏒
Secondary Practice Location Registered April 06, 2018

Additional practice office at 559 Vincent St, 21 AMDS/SGPE- ATTN: Optometry, Peterson AFB, CO 809141540

πŸ‘€
Provider Name / Credentials Updated April 06, 2018

Recorded as CHAD WILLIS, O.D.

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

Optometrist (license number reported to NPPES: IA 02329)

βœ…
NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 31, 2013

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

πŸ“
Business Mailing Address (Initial Record) July 31, 2013

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 31, 2013

Recorded as CHAD WILLIS, O.D.

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

Optometrist (license number reported to NPPES: IA 02329)

🟒
Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.