MR. BARRY L GELLIS (NPI# 1235122136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235122136 |
| Entity Type | Individual |
| Full Name | MR. BARRY L GELLIS |
| Credential | O.D. |
| Practice Address |
311 W 24th St Ste 401 Erie PA 16502-2665 |
| Practice Telephone | 8144557591 |
| Practice Fax Number | 8144541467 |
| Mailing Telephone | 8144557591 |
| Mailing Fax Number | 8144541467 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2010-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG001073 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0005620100004 | 05 | |
| DMERC | 0739350001 | 01 | |
| BS | GE60796 | 01 | |
| GBA RR | P00178464 | 01 | |
| PA | PA NUMBER | OEG001073 | 01 |
| DEA NUMBER | MG0430380 | 01 |
| Street Address |
311 W 24TH ST STE 401 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917814 | Edward C Clark | Internal Medicine | 311 W 24th St, Suite 402, Erie, PA 16502-2665 | 2005-07-22 |
| 1003477407 | Mary Katherine Lasher | Family Medicine | 311 W 24th St, Erie, PA 16502-2665 | 2019-06-26 |
| 1154857274 | Joseph Michael Krissel | Emergency Medicine | 311 W 24th St, 4th Floor, Erie, PA 16502-2665 | 2017-05-10 |
| 1245764182 | Muhammad Samad Khan | Emergency Medicine | 311 W 24th St, 4th Floor, Erie, PA 16502-2665 | 2017-04-18 |
| 1396279600 | Jessica Lerman | Emergency Medicine | 311 W 24th St, 4th Floor, Erie, PA 16502-2665 | 2017-04-13 |
| 1497289821 | Joseph Datsko | Emergency Medicine | 311 W 24th St, 4th Floor, Erie, PA 16502-2665 | 2017-04-12 |
| 1093257487 | Saint Vincent Medical Education and Research Inst. Inc | Podiatrist | 311 W 24th St, Suite 303, Erie, PA 16502-2665 | 2016-11-16 |
| 1447609847 | Tad Antognini | Family Medicine | 311 W 24th St, 4th Floor, Erie, PA 16502-2665 | 2016-06-07 |
| 1689022253 | Albert Tang | Family Medicine | 311 W 24th St, 4th Floor, Erie, PA 16502-2665 | 2016-05-24 |
| 1316391543 | Adam Fredrick Christensen | Emergency Medicine | 311 W 24th St, 4th Floor, Erie, PA 16502-2665 | 2016-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
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| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1427521665 | Landa Vision, Inc. | Optometrist | 5158 Peach St Unit 20b, Erie, PA 16509-2489 | 2019-01-10 |
| 1568898690 | West Penn Advance Vision Care & Optical LLC | Optometrist | 2576 W 8th St, Erie, PA 16505-4416 | 2013-09-20 |
| 1780946624 | Ashley N Harris | Optometrist | 560 Millcreek Mall # 400, Erie, PA 16565-0502 | 2012-06-15 |
| 1215168877 | Jessica Marie Goller | Optometrist | 3279 West 26th St, Erie, PA 16506 | 2009-07-30 |
| 1558506402 | Robert Ryan Powell | Optometrist | 893 Shuttleworth Dr, Erie, CO 80516-7242 | 2008-12-06 |
| 1154505063 | Visual Fx Vision Centers, LLC | Optometrist | 7000 Peach Street, Erie, PA 16509 | 2007-12-27 |
| 1912042466 | Douglas W Kennedy | Optometrist | 615 Mitchell Way Ste 103, Erie, CO 80516-5438 | 2007-02-21 |
| 1790843977 | Jill Diane Cuthbertson | Optometrist | 1344 W 38th St, Erie, PA 16508-2462 | 2006-12-04 |
| 1427126267 | Visioncare Laser Centers of Erie | Optometrist | 1909 West 8th Street, Erie, PA 16505-4936 | 2006-12-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.