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Dr. Kellie Marie Gladys , OD

Optometrist β€’ Bloomington, IL

Active NPI 1194454173 Individual Practitioner Female Practitioner
Practice location in NPPES

207 Hamilton Road
Bloomington, IL 61704

Call 3098274090 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

207 Hamilton Road

Bloomington, IL 61704

Telephone 3098274090
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Huntington, WV. 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

2022

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomington and Illinois

17 active clinicians are listed under Optometrist with a practice address in Bloomington, IL (2,710 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 17 clinicians have the CMS telehealth indicator.

64.7% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, 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

Self-certified to NPPES: 2023-09-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES GA OPT003413

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

1540 Spring Valley Drive

Huntington, WV 25704

Phone: 3044296741

Clinicians Sharing This Practice Address or Phone

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

3 listed
NPI 1861847253

Doctor of Podiatric Medicine

Dr. Mark Stivers , MD

Internal Medicine

NPI 1417943523

Doctor of Medicine (M.D.)

Dr. Meera Yerrabolu , MD

Internal Medicine

NPI 1154414423

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location September 12, 2023

Registered at 207 HAMILTON ROAD, BLOOMINGTON, IL 61704 (Tel: 3098274090)

🏒
Secondary Practice Location Registered September 12, 2023

Additional practice office at 1540 Spring Valley Drive, Huntington, WV 25704

βœ…
NPI Profile Active June 06, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2022

Registered at 1540 SPRING VALLEY DRIVE, HUNTINGTON, WV 25704 (Tel: 3044296741)

πŸ“
Business Mailing Address (Initial Record) June 06, 2022

Registered at 11803 LINDEN ST, CEDAR LAKE, IN 463039776

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2022

Recorded as KELLIE GLADYS, OD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 06, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194454173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2022
Last Update: September 12, 2023
Sole Proprietor: Yes

Other Optometrists in Bloomington

All Optometrists in Bloomington

Mailing Address

11803 Linden St

Cedar Lake, IN 463039776

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.