Individual provider Active NPI

Gregory Kaye, OD

  • Optometrist
  • Westlake, OH
National Provider Identifier
1023079126
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4752/T1556 Issued in OH
Practice address
2237 Crocker Rd
Suite 100
Westlake, OH 44145-6789
Phone
(440) 892-3931
NPI assigned
Mar 29, 2006
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4752/T1556 OH Primary

Addresses

Primary practice location

2237 Crocker Rd
Suite 100
Westlake, OH 44145-6789

Mailing address

2237 Crocker Rd
Suite 100
Westlake, OH 44145-6789

Other identifiers 1

IdentifierTypeStateIssuer
2539659MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050126001141 OH Practitioner - Optometry 7416907555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitestar Professional CorporationGroup PAC ID 8921067224, 5 clinicians

Practice addresses (Care Compare)

2237 Crocker Rd
Suite 100
Westlake, OH 44145-7610
Phone (440) 892-3931

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4752OHMDRegistered Dietitian
4752/T1556OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitestar Professional Corporation Optometrist CurrentSince Jan 3, 2005 Accepting new patients

Locations

2237 Crocker Rd
Ste 100
Westlake, OH 44145
Phone (440) 892-3931

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1023079126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 CROCKER RD",
            "address_2": "SUITE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 CROCKER RD",
            "address_2": "SUITE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456789",
            "telephone_number": "440-892-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYE",
        "first_name": "GREGORY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4752/T1556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2539659",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.