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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194454173

Kellie Marie Gladys, OD is a Student in an Organized Health Care Education/Training Program in Bloomington, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

207 Hamilton Rd
Bloomington, IL 61704
Phone: (309) 827-4090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1540 Spring Valley Drive, Huntington, WV 25704 — (304) 429-6741

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT003413 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194454173
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 6, 2022
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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