Brian T Gerlach, OD, FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

5038T1915 Issued in OH

Practice address

1025 Grand Lake Rd
Celina, OH 45822

Phone

(419) 586-3151

Fax

(419) 586-1059

NPI assigned

Mar 29, 2006

Last updated

Apr 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Lake Eyecare LLCGroup PAC ID 8527016278, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.98 of 100Reported as individual

Quality

71.95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.gerlach@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grand Lake Eyecare LLC

  • Optometrist
  • Celina, OH
  • NPI 1548301690
  Medicare reassignment Care Compare group NPD
• Grand Lake Eyecare, LLC

  • Optometrist
  • Fort Recovery, OH
  • NPI 1487083697
  NPD Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1093776205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 GRAND LAKE RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "45822",
            "telephone_number": "419-586-3151",
            "fax_number": "419-586-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 GRAND LAKE RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "45822",
            "telephone_number": "419-586-3151",
            "fax_number": "419-586-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5038T1915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Outreach Center
• Ashlie Marie Geier, LMT
• Geise Chiropractic LLC
• David M. Geise, D.C.
• Scott Gels, OTR/L
• Jennifer Glance, D.O.
• Debra A Glass, LSW
• Tyrel Goings
• Kami Goldman
• Grand Lake Eyecare LLC

• Optometrist in Celina, OH
• Providers in Celina, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.