Individual provider Active NPI

Harry Robert Gilbert, O.D.

  • Optometrist
  • Akron, OH
National Provider Identifier
1013027572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3236/T453 Issued in OH
Practice address
767 E Turkeyfoot Lake Rd
Suite 4-a
Akron, OH 44319-4128
Phone
(330) 896-1098
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3236/T453 OH Primary

Addresses

Primary practice location

767 E Turkeyfoot Lake Rd
Suite 4-a
Akron, OH 44319-4128

Mailing address

767 E Turkeyfoot Lake Rd
Suite 4-a
Akron, OH 44319-4128
Phone (330) 896-1098

Other identifiers 2

IdentifierTypeStateIssuer
032690MedicaidOH
0465160001OtherOHDURABLE MEDICAL GOODS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3236/T453OHMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013027572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 E TURKEYFOOT LAKE RD",
            "address_2": "SUITE 4-A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443194128",
            "telephone_number": "330-896-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 E TURKEYFOOT LAKE RD",
            "address_2": "SUITE 4-A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443194128",
            "telephone_number": "330-896-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "HARRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3236/T453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032690",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL GOODS",
            "identifier": "0465160001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.