Gregory T Pietz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002759AB Issued in IN

Practice address

109 E Main St
Crawfordsville, IN 47933-1710

Phone

(765) 362-2706

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sugar Creek Eyecare, P.C.Group PAC ID 2365617867, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sugar Creek Eyecare, P.C.

  • Optometrist
  • Crawfordsville, IN
  • NPI 1144499013
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1003949090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LETTERMAN DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127689",
            "telephone_number": "317-506-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331710",
            "telephone_number": "765-362-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETZ",
        "first_name": "GREGORY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002759AB",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Renee Petryszyn, LAT, ATC
• Jennifer R Peverly, LCSW
• Jonathan Pfleegor
• Judah L Phipps, PTA
• Physiotherapy Associates Inc
• Lauryn Pike, RBT
• Kenneth J. Pilcher, D.D.S.
• Pinnacle Dermatology, SC
• Andrea Polk, NP
• Karyssa Potters, RBT

• Optometrist in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.