Individual
MR. BARRY L GELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
311 W 24TH ST, STE 401, ERIE, PA 16502-2665
(814) 455-7591
(814) 454-1467
Mailing address
311 W 24TH ST, STE 401, ERIE, PA 16502-2665
(814) 455-7591
(814) 454-1467
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001073
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005620100004
—
PA
01
—
0739350001
DMERC
—
01
—
GE60796
BS
—
01
—
OEG001073
PA NUMBER
PA
01
—
P00178464
GBA RR
—
Enumeration date
08/25/2005
Last updated
03/07/2023
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