Individual provider Active NPI

Gregory Lorkowski, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1083611164
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5256TG Issued in TX
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
041956601MedicaidTX

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

LicenseStateTypeSpecialty
5256TGTXMDOptometrist

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.

Verify at the official NPI Registry.