Individual provider Active NPI

Gregory A. Foster, O.D.

  • Optometrist
  • Neillsville, WI
National Provider Identifier
1043294697
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1728-035 Issued in WI
Practice address
446 Court St
Neillsville, WI 54456-1955
Phone
(715) 743-3126
Fax
(715) 743-5050
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1728-035 WI Primary

Addresses

Primary practice location

446 Court St
Neillsville, WI 54456-1955

Mailing address

446 Court St
P.O. Box 31
Neillsville, WI 54456-1955
Phone (715) 743-3126

Other identifiers 1

IdentifierTypeStateIssuer
38518300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040507001240 WI Practitioner - Optometry 2567353501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

446 Court St
Neillsville, WI 54456-1955
Phone (715) 743-3126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1728-035WIMDOptometrist
1728WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Primary Eye Care LTD Optometrist CurrentSince Jan 1, 2009 Accepting new patients
Foster Primary Eye Care LTD Optometrist Current Accepting new patients
Foster Primary Eye Care Optometrist PastSince Jan 1, 1990 Accepting new patients
Foster Primary Eye Care Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

446 Court St
Neillsville, WI 54456
Phone (715) 743-3126

Interoperability endpoints

  • Direct secure messaging: gregory.foster@fpec.direct.eyemdemr.com
  • Direct secure messaging: gregoryfoster@fpec.direct.eyemdemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1043294697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 COURT ST",
            "address_2": "P.O. BOX 31",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561955",
            "telephone_number": "715-743-3126",
            "fax_number": "715-743-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 COURT ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561955",
            "telephone_number": "715-743-3126",
            "fax_number": "715-743-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "GREGORY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1728-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38518300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neillsville, WI

Sources for this page

Verify at the official NPI Registry.