Robert E. Gregg, O.D., Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

2828/T866 Issued in OH

Legal business name

ROBERT E. GREGG, O.D., INC.

Practice address

1060 Claremont Ave
Suite #5
Ashland, OH 44805-3715

Phone

(419) 281-2952

Fax

(419) 289-0893

NPI assigned

Sep 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Edward Gregg, O.D.

Title

President

Phone

(419) 281-2952

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1063662062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CLAREMONT AVE",
            "address_2": "SUITE #5",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053715",
            "telephone_number": "419-281-2952",
            "fax_number": "419-289-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CLAREMONT AVE",
            "address_2": "SUITE #5",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053715",
            "telephone_number": "419-281-2952",
            "fax_number": "419-289-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. GREGG, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-281-2952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "2828/T866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01233151343",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Ashland, OH
• Providers in Ashland, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.