Active NPI
Barry L. Gridley, O.D.
- Optometrist
- Oakwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3121/T1009
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0248057 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3121/T1009 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Family First Vision Care Kentucky, LLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | 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.
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- Solon, OH
- NPI 1154980811
-
- Optometrist
- Columbus, OH
- NPI 1427462183
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.