Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kalla Alexis Gervasio, MD

Individual provider Ophthalmic Plastic and Reconstructive Surgery Physician · NPI 1619409364

Dr. Kalla Alexis Gervasio, MD is an Ophthalmology in Concord, New Hampshire. Qualified in 2017, 9 years ago. Practices with Omni Eye Specialists P A, a 45-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
9
Licensed in
NH
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

248 Pleasant St Ste 1600
Concord, NH 03301-2588
Phone: (603) 224-2020
Fax: (603) 228-0248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X · Licence 25190 (NH)

Record details

NPI number1619409364
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Omni Eye Specialists P A — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount