Individual provider Active NPI

Barry L. Gridley, O.D.

  • Optometrist
  • Oakwood, OH
National Provider Identifier
1326144346
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3121/T1009 Issued in OH
Practice address
2525 Far Hills Ave
Oakwood, OH 45419-1505
Phone
(937) 298-0550
Fax
(937) 298-5404
NPI assigned
Sep 16, 2006
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3121/T1009 OH Primary

Addresses

Primary practice location

2525 Far Hills Ave
Oakwood, OH 45419-1505

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other identifiers 1

IdentifierTypeStateIssuer
0248057MedicaidOH

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
I20160617000419 OH Practitioner - Optometry 9830480193 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3121/T1009OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 27, 2024 Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Mar 21, 2024 Accepting new patients
Family First Vision Care, LLC Optometrist CurrentSince Mar 21, 2024 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 27, 2024 Accepting new patients

Locations

2850 Centre Dr
Ste 6A
Beavercreek, OH 45324
Phone (937) 294-4060

3440 Burnet Ave
Ste 110
Cincinnati, OH 45229
Phone (513) 221-2415

5303 Glenway Ave
Cincinnati, OH 45238
Phone (513) 921-8040

700 Eastgate South Dr
Ste 200
Cincinnati, OH 45245
Phone (513) 449-1318

2735 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 399-4060

4419 Walnut St
#F117
Dayton, OH 45440
Phone (937) 476-1899

3373 Princeton Rd
Ste 121
Fairfield Township, OH 45011
Phone (513) 893-1461

316 S Hamilton Rd
Gahanna, OH 43230

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

3085 Woodman Dr
Ste 100
Kettering, OH 45420
Phone (937) 258-1515

2525 Far Hills Ave
Oakwood, OH 45419
Phone (937) 298-0550

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

2051 N Bechtle Ave
Ste 130
Springfield, OH 45504
Phone (212) 729-5303

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

5274 Salem Ave
Trotwood, OH 45426
Phone (937) 837-3937

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1326144346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 FAR HILLS AVE",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454191505",
            "telephone_number": "937-298-0550",
            "fax_number": "937-298-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIDLEY",
        "first_name": "BARRY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3121/T1009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0248057",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakwood, OH

Sources for this page

Verify at the official NPI Registry.