Organization Active NPI

David G Gross DO, PC

  • Optometrist
  • Merrillville, IN
National Provider Identifier
1073646089
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DAVID G GROSS DO, PC
Practice address
303 W 89TH Ave
Suite E4
Merrillville, IN 46410-6294
Phone
(219) 769-8989
Fax
(219) 756-6389
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
David G Gross, D.O.NPI 1346373313
Title
Owner
Phone
(219) 769-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

303 W 89TH Ave
Suite E4
Merrillville, IN 46410-6294

Mailing address

303 W 89TH Ave
Suite E4
Merrillville, IN 46410-6294
Phone (219) 769-8989

Other identifiers 1

IdentifierTypeStateIssuer
000000105018OtherINANTHEM

Other names 1

  • Deen-Gross Eye Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040825000238 IN Part B Supplier - Clinic/Group Practice 6608840608 Receives reassigned benefits from 2 practitioners
Practice locations: Merrillville, IN; Hobart, IN; Gary, IN; Crown Point, IN
O20041004000609 IN Part B Supplier - Clinic/Group Practice 6608840608 Receives reassigned benefits from 1 practitioner
Practice locations: Hobart, IN; Merrillville, IN

National Provider Directory

National Provider Directory
Tax ID family
David G Gross DO PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 S Lake Park Ave
#103
Hobart, IN 46342
Phone (219) 947-4410

1400 S Lake Park Ave
Ste 102
Hobart, IN 46342

1400 S Lake Park Ave
Ste 120
Hobart, IN 46342

303 W 89th Ave
Ste E4
Merrillville, IN 46410
Phone (219) 769-8989

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073646089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE",
            "address_2": "SUITE E4",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106294",
            "telephone_number": "219-769-8989",
            "fax_number": "219-756-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE",
            "address_2": "SUITE E4",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106294",
            "telephone_number": "219-769-8989",
            "fax_number": "219-756-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G GROSS DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-769-8989",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000105018",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deen-Gross Eye Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.