Active NPI
Gailey Eye Surgery-Decatur LLC
- Ambulatory Surgical Clinic/Center
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
- Last updated
- Apr 30, 2025
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
646 W Pershing Rd
Decatur, IL 62526-1633
Mailing address
646 W Pershing Rd
Decatur, IL 62526-1633
Phone (217) 875-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070703000759 | IL | Part B Supplier - Ambulatory Surgical Center | 8123128113 | Practice locations: Decatur, IL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Gailey Eye Surgery Decatur
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1055043 | Gailey Eye Surgery - Decatur, L L C | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Bloomington, IL
- NPI 1528015013
-
- Ophthalmology Physician
- Bloomington, IL
- NPI 1265473706
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- 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.