Active NPI
Gregory Lorkowski, O.D.
- Optometrist
- Dallas, TX
National Provider Identifier
1083611164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5256TG
- Practice address
- 8115 Preston Rd
Ste 630
Dallas, TX 75225-6342 - Phone
- (214) 360-9951
- Fax
- (214) 360-9819
- NPI assigned
- Jul 5, 2005
- Last updated
- Jan 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5256TG | TX | Primary |
Addresses
Primary practice location
8115 Preston Rd
Ste 630
Dallas, TX 75225-6342
Mailing address
2210 Red Hawk LN
Euless, TX 76039-6091
Phone (817) 534-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041956601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5256TG | TX | MD | Optometrist |
Organizations & group practices 2
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": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1083611164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 RED HAWK LN",
"city": "EULESS",
"state": "TX",
"postal_code": "760396091",
"telephone_number": "817-534-3200",
"fax_number": "817-536-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 PRESTON RD",
"address_2": "STE 630",
"city": "DALLAS",
"state": "TX",
"postal_code": "752256342",
"telephone_number": "214-360-9951",
"fax_number": "214-360-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORKOWSKI",
"first_name": "GREGORY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5256TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041956601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.