Individual provider Active NPI

Heath Bradley Gilbert, O.D.

  • Optometrist
  • Dayton, OH
National Provider Identifier
1114923844
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4353T259 Issued in OH
Practice address
813 Troy St
Dayton, OH 45404-1852
Phone
(937) 228-2020
Fax
(937) 228-8769
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4353T259 OH Primary

Addresses

Primary practice location

813 Troy St
Dayton, OH 45404-1852

Mailing address

813 Troy St
Dayton, OH 45404-1852
Phone (937) 228-2020

Other identifiers 3

IdentifierTypeStateIssuer
310928411031OtherOHCARE SOURCE
0886242MedicaidOH
310928411030OtherOHCARE SOURCE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091113000063 OH Practitioner - Optometry 5890841183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4353T259OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Optometric Center Inc. Optometrist CurrentSince Jul 1, 1992 Accepting new patients
Dayton Optometric Center Inc. Optometrist CurrentSince Jul 1, 1992 Accepting new patients
Optometric Management Group LLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients

Locations

5823 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-8811

3039 Madison Rd
Cincinnati, OH 45209
Phone (513) 651-4005

5180 E Main St
Columbus, OH 43213
Phone (614) 866-9002

1450 Olentangy River Rd
Ste 1437
Columbus, OH 43212

1500 Polaris Pkwy
Columbus, OH 43240
Phone (614) 885-3937

2440 Wilmington Pike
Dayton, OH 45419
Phone (614) 793-0700

813 Troy St
Dayton, OH 45404
Phone (937) 228-2020

5419 N Main St
Dayton, OH 45415

951 E Johnstown Rd
Gahanna, OH 43230
Phone (614) 476-2015

3959 Hoover Rd
Grove City, OH 43123
Phone (614) 875-8373

3636 Broadway
Grove City, OH 43123
Phone (614) 871-3234

40 Southmoor Cir NE
Kettering, OH 45429
Phone (937) 228-2020

340 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 866-3471

315 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-0339

142 W Water St
Ste L
Oak Harbor, OH 43449
Phone (419) 898-1918

141 Clint Dr
Pickerington, OH 43147
Phone (614) 575-0111

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

22 Remick Blvd
Springboro, OH 45066
Phone (937) 748-2720

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

107 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 526-0204

1861 Towne Park Dr
Troy, OH 45373
Phone (937) 339-7956

226 W Court St
Washington Court House, OH 43160
Phone (740) 335-2020

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1114923844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 TROY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041852",
            "telephone_number": "937-228-2020",
            "fax_number": "937-228-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 TROY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041852",
            "telephone_number": "937-228-2020",
            "fax_number": "937-228-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "HEATH",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4353T259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "310928411031",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0886242",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "310928411030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.