Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Chad Eldon Willis, O.D.

Optometrist in Hurlburt Field, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114907185

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Registry record

Entity type Individual (Type 1)

Name Dr. Chad Eldon Willis

Credential O.D.

Sex Male

Practice address 113 Lielmanis Ave, Hurlburt Field, FL, 32544

Phone (850) 881-3918

Enumeration date Jan 18, 2006

Last updated in NPPES Apr 6, 2018

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 02329 (IA) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License 3023 (CO) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
0470674	Medicaid	IA	-
00864	Other	IA	WELLLMARK BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Chad Willis?

Chad Willis is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-06.