Individual provider Active NPI

Christina Gratkowski, OD

  • Optometrist
  • Newtown, PA
National Provider Identifier
1083274278
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003530 Issued in PA
Practice address
780 Newtown Yardley Rd Ste 315
Newtown, PA 18940-4502
Phone
(215) 968-4300
NPI assigned
Jun 19, 2019
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002933 VA
Optometrist 152W00000X OEG003530 PA Primary

Addresses

Primary practice location

780 Newtown Yardley Rd Ste 315
Newtown, PA 18940-4502

Mailing address

3166 Hulmeville Rd
Bensalem, PA 19020-4307
Phone (215) 847-3278

Other practice location 1

612 Hilltop West Shopping Ctr
Virginia Beach, VA 23451-6139
Phone (757) 491-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210218000690 VA Practitioner - Optometry 8426385543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Virginia Eye Associates PCGroup PAC ID 9436328739, 5 clinicians

Practice addresses (Care Compare)

1108 Cedar Rd
Chesapeake, VA 23322-7102
Phone (757) 436-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002933VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pascarella Eye Care & Contact Lenses, P.C. Optometrist CurrentSince Jun 24, 2019 Accepting new patients
May & Hettler, O.D., PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
May & Hettler, O.D., PLLC Optometrist Current Accepting new patients
Eastern Virginia Eye Associates, PC Optometrist CurrentSince Oct 28, 2020 Accepting new patients
Dr. James V. Cornetta LTD Optometrist PastSince Dec 21, 1998 Accepting new patients
May & Hettler, O.D., PLLC Optometrist Past Accepting new patients
Teresa a Shenouda MD PLLC PastSince Oct 28, 2020 Accepting new patients

Locations

780 Newtown Yardley Rd
Ste 315
Upper Makefield, PA 18940
Phone (215) 860-9660

1108 Cedar Rd
Chesapeake, VA 23322
Phone (757) 436-3937

612 Hilltop West Shopping Ctr
Virginia Beach, VA 23451
Phone (757) 491-1977

Interoperability endpoints

  • Direct secure messaging: christinagratkowski@direct.eyecare-partners.com
  • FHIR API: https://api.platform.athenahealth.com/13340/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1083274278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 HULMEVILLE RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204307",
            "telephone_number": "215-847-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NEWTOWN YARDLEY RD STE 315",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189404502",
            "telephone_number": "215-968-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Hilltop West Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234516139",
            "country_code": "US",
            "telephone_number": "757-491-1977",
            "fax_number": "757-491-1136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRATKOWSKI",
        "first_name": "CHRISTINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002933",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.