Gilbert George Jannelli, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP1034 Issued in FL

Practice address

909 So Fort Harrison Avenue
Clearwater, FL 33756-3903

Phone

(727) 461-2020

Fax

(727) 442-3937

NPI assigned

Sep 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1700985173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SO FORT HARRISON AVENUE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563903",
            "telephone_number": "727-461-2020",
            "fax_number": "727-442-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SO FORT HARRISON AVENUE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563903",
            "telephone_number": "727-461-2020",
            "fax_number": "727-442-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNELLI",
        "first_name": "GILBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084986300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Beatriz Jais, LCSW
• Marykate Jalo
• Jamb Hearing Inc
• James a.Haley VA Hospital
• Victoria Lynn James, APRN-C
• Joan Marie Jannino, BA
• Russell Thomas Janssen, D.C.
• January Moennig O.D. P.a.
• Katherine Coffee Janus
• Jennifer Rebecca Janusas

• Optometrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.

Verify at the official NPI Registry.