Individual provider Active NPI

Gregory Edward Giles, O.D.

  • Optometrist
  • La Mesa, CA
National Provider Identifier
1114931250
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11362T Issued in CA
Practice address
7863 La Mesa Blvd Ste 202
La Mesa, CA 91942-6708
Phone
(619) 399-2506
Fax
(619) 399-2507
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 11362T CA
Sports Vision Optometrist 152WS0006X 11362T CA
Vision Therapy Optometrist 152WV0400X 11362T CA
Optometrist 152W00000X 11362T CA Primary

Addresses

Primary practice location

7863 La Mesa Blvd Ste 202
La Mesa, CA 91942-6708

Mailing address

7863 La Mesa Blvd Ste 202
La Mesa, CA 91942-6708
Phone (619) 399-2506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191113000815 CA Practitioner - Optometry 4486946910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7863 La Mesa Blvd
Suite 202
La Mesa, CA 91942-6708
Phone (619) 399-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11362TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
La Mesa Vision Care Center Optometry Optometrist CurrentSince Oct 10, 2019 Accepting new patients
Greg Giles, O.D., Inc. Optometrist CurrentSince Apr 16, 2024 Accepting new patients
Beyond Vision Center Optometry Inc Optometrist PastSince Oct 10, 2019 Accepting new patients

Locations

7863 La Mesa Blvd
Ste 202
La Mesa, CA 91942
Phone (619) 399-2506

8007 La Mesa Blvd
La Mesa, CA 91942
Phone (619) 466-5665

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1114931250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 LA MESA BLVD STE 202",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426708",
            "telephone_number": "619-399-2506",
            "fax_number": "619-399-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 LA MESA BLVD STE 202",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426708",
            "telephone_number": "619-399-2506",
            "fax_number": "619-399-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "GREGORY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "11362T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "11362T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "11362T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11362T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.