DR. BENJAMIN GELLIS (O.D.) – Optometrist, NPI 1588691323

DR. BENJAMIN GELLIS (O.D.) is a healthcare provider. based in Hudson, Ohio. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 5600 (OH). The NPI Number for DR. BENJAMIN GELLIS (O.D.) is 1588691323

Main info

Male
22 Years Of Experience
Name
DR. BENJAMIN GELLIS (O.D.)
NPI
1588691323
Phone
(330) 697-4748
Address
PO BOX 880
Enumeration Date
27 June 2006
Last Update Date
25 April 2012

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
5597831529
Professional Enrollment ID
I20080827000559
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BENJAMIN GELLIS (O.D.)

  • 880, Hudson Street, Longueuil, Longueuil (agglomeration), Montérégie, Quebec, J4V 1H1, Canada

    HUDSON, OH 442365880

    Phone: (330) 697-4748

    Fax: (866) 425-2239

    Type: Mailing

  • Richmond Town Square, 691, Richmond Road, Richmond Heights, Cuyahoga County, Ohio, 44143, United States

    RICHMOND HEIGHTS, OH 441432990

    Phone: (330) 697-4748

    Fax: (866) 425-2239

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080827000559IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44236)

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Reviews

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Frequently asked questions

What identifier follows DR. BENJAMIN GELLIS (O.D.) across health systems?
The NPI 1588691323 uniquely identifies DR. BENJAMIN GELLIS (O.D.) in U.S. healthcare data.
Should I treat DR. BENJAMIN GELLIS (O.D.) as an active provider?
Patients and plans typically see DR. BENJAMIN GELLIS (O.D.) as active in the national extract.
What does the directory say DR. BENJAMIN GELLIS (O.D.) does?
Insurance directories may phrase it differently, but here DR. BENJAMIN GELLIS (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. BENJAMIN GELLIS (O.D.)?
The directory associates DR. BENJAMIN GELLIS (O.D.) with Hudson, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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