Gailey Eye Surgery-Decatur LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GAILEY EYE SURGERY-DECATUR LLC

Practice address

646 W Pershing Rd
Decatur, IL 62526-1633

Phone

(217) 875-2600

Fax

(217) 875-9525

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ara D Aprahamian, MD

Title

Medical Director

Phone

(309) 829-5311

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Gailey Eye Surgery DecaturCCN 14C0001130

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth R Barba, M.D.

  • Ophthalmology Physician
  • Bloomington, IL
  • NPI 1265473706
  NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1023056090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261633",
            "telephone_number": "217-875-2600",
            "fax_number": "217-875-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261633",
            "telephone_number": "217-875-2600",
            "fax_number": "217-875-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAILEY EYE SURGERY-DECATUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "APRAHAMIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-829-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "50636",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Beau Gabbert
• Belva J Gadlage, LCPC
• Stacia Gadson, LMSW
• Stephanie Gaede
• Stephanie Gagnon, LCPC
• Janet L Gaither, CRNA
• Gaitros Dental Center
• Scott T Gaitros, DMD
• Katlynn Gallup
• Donald A Galvin, PA-C

• Ambulatory Surgical Clinic/Center in Decatur, IL
• Providers in Decatur, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.