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KELLIE MARIE GLADYS OD
NPI 1194454173
Optometrist in Bloomington, IL

Active since June 06, 2022
207 HAMILTON ROAD, BLOOMINGTON, IL 61704(309) 827-4090 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie Marie Gladys Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE MARIE GLADYS OD (NPI 1194454173) is an individual optometrist in Bloomington, Illinois, licensed in Georgia (OPT003413) and active in the NPI registry since June 2022. She maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1194454173
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLIE MARIE GLADYSCredential: OD
Location Address207 HAMILTON ROADBloomington, IL 61704
Mailing Address11803 Linden StCedar Lake, IN 46303-9776
Phone(309) 827-4090
Sole ProprietorYes
Enumeration DateJune 6, 2022
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1194454173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT003413
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
207 HAMILTON ROAD, Bloomington, IL 61704
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Secondary Practice Location 1

Location 11540 Spring Valley DriveHuntington, WV 25704 · Phone (304) 429-6741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Gladys's NPI number?

The NPI number for Kellie Gladys is 1194454173. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Kellie Gladys located?

Kellie Gladys practices at 207 Hamilton Road, Bloomington, IL 61704. The listed phone number is (309) 827-4090.

What is Kellie Gladys's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Kellie Gladys was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.