Individual provider Active NPI

Donna Louise Grider, O.D.

  • Optometrist
  • Springfield, PA
National Provider Identifier
1003952359
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001434 Issued in PA
Practice address
1250 Baltimore Pike
Springfield, PA 19064-2706
Phone
(610) 544-1841
Fax
(610) 544-2984
NPI assigned
Jan 30, 2007
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001434 PA Primary

Addresses

Primary practice location

1250 Baltimore Pike
Springfield, PA 19064-2706

Mailing address

444 Irvington Rd
Drexel Hill, PA 19026-1321
Phone (484) 459-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20220609000032 PA Practitioner - Optometry 1759769458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irefract PCGroup PAC ID 9739598343, 3 clinicians

Practice addresses (Care Compare)

700 Evergreen Dr
Glen Mills, PA 19342-2102
Phone (610) 813-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001434PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Irefract PC Optometrist CurrentSince Jun 19, 2022 Accepting new patients

Locations

8525 E Pinnacle Peak Rd
Ste 101
Scottsdale, AZ 85255
Phone (480) 779-7148

700 Evergreen Dr
Glen Mills, PA 19342
Phone (610) 387-2206

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1003952359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 IRVINGTON RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261321",
            "telephone_number": "484-459-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642706",
            "telephone_number": "610-544-1841",
            "fax_number": "610-544-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIDER",
        "first_name": "DONNA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.