Brian T Gerlach, OD, FAAO
Individual provider Active NPI Optometrist · Celina, OH
NPI 1093776205 · NPPES record last updated Apr 6, 2011
Key facts
- NPI
- 1093776205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5038T1915 (OH)
- Practice address
- 1025 Grand Lake Rd
Celina, OH 45822 - Phone
- (419) 586-3151
- Fax
- (419) 586-1059
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
2024 Holiday Dr
Celina, OH 45822-8344
Phone (419) 586-3151
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.98 of 100
- Quality
- 71.95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031229000235 | OH | Practitioner - Optometry | 1759289838 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5038T1915 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Eyecare, LLC | Optometrist | Current |
Accepting new patients |
| Grand Lake Eyecare LLC | Optometrist | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1025 Grand Lake Rd
Celina, OH 45822
Phone (419) 586-3151
2024 Holiday Dr
Celina, OH 45822
Phone (419) 586-3151
Interoperability endpoints
- brian.gerlach@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5038T1915 | OH | Yes |
Addresses
Primary practice location
1025 Grand Lake Rd
Celina, OH 45822
Mailing address
1025 Grand Lake Rd
Celina, OH 45822
Phone (419) 586-3151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L2228397 | Medicaid | OH |
Other providers in Celina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.