Alan Young Gillogly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3736 T457 Issued in OH

Practice address

3014 W Broad St
Columbus, OH 43204-2652

Phone

(614) 274-1451

Fax

(614) 274-2908

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1922098540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042652",
            "telephone_number": "614-274-1451",
            "fax_number": "614-274-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042652",
            "telephone_number": "614-274-1451",
            "fax_number": "614-274-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOGLY",
        "first_name": "ALAN",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3736  T457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710243",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "410003795",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton Alyn Gilliland
• Alden Jane Gilliom, APRN
• Jennifer Paige Gillis, LPN
• Elisa Gillispie, CT
• Elizabeth G Gillman, LSW
• Rachel S Gilman, MD
• Bradley R Gilmer, DDS
• Allison Gilmore
• Anna Olivia Gilmore
• Arianna Gilmore

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.