Optometrist
KELLIE GLADYS OD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194454173 · enumerated 2022-06-06 · record updated 2023-09-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 207 HAMILTON ROAD, BLOOMINGTON, IL, 61704 (309) 827-4090 Google Maps Apple Maps OpenStreetMap
- Mailing address 11803 LINDEN ST, CEDAR LAKE, IN, 46303-9776 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X
- Optometrist 152W00000X · Primary · License OPT003413 GA
In this directory
Locations and evidence
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Practice location
BLOOMINGTON, IL, 61704
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.