Michael J Gredzik, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003444 Issued in PA

Practice address

1006 Baltimore Pike
Springfield, PA 19064-2836

Phone

(610) 544-3828

Fax

(610) 544-3695

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Pennsylvania College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.64 of 100Reported as group

Quality

84.8

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgredzik@refocus.intellechartdirect.net
• Direct secure messaging: michael.gredzik.1@22072.direct.athenahealth.com

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.

• Associated Eye Physicians & Surgeons of N.J., P.a.

  • Ophthalmology Physician
  • Union, NJ
  • NPI 1912094079

  Single Specialty

  Medicare reassignment NPD
• Refocus Eye Health of NJ, P.C.

  • Ophthalmology Physician
  • Camden, NJ
  • NPI 1093316549

  Optometrist

  Medicare reassignment NPD
• Your Eyes and You LLC

  • Optometrist
  • Middlesex, NJ
  • NPI 1679180855
  Medicare reassignment NPD
• Refocus Eye Health of Central Connecticut, P.C.

  • Ophthalmology Physician
  • Waterbury, CT
  • NPI 1548874936

  Optometrist

  NPD
• Refocus Eye Health of NJ, P.C.

  • Eyewear Supplier
  • Oakland, NJ
  • NPI 1912867052
  NPD

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1023593936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 ALMOND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344710",
            "telephone_number": "215-939-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642836",
            "telephone_number": "610-544-3828",
            "fax_number": "610-544-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREDZIK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lela B Gould, CRNP
• Amanda M Graham, LPC
• James R. Granite, D.M.D.
• Elizabeth Claire Grauman, LPC,NCC,MCAT,ADTR
• Greater Philadelphia Health Action Inc. (GPHA- Spectrum Behavioral Srvs.)
• Joshua Todd Green, MPT
• Donna Louise Grider, O.D.
• Ryan Griffith
• Alex W Gross, LCSW
• Nicole Eva Gross, M.D.

• Optometrist in Springfield, PA
• Providers in Springfield, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.