Gregory G. Kautz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1545ATI Issued in OR

Practice address

660 Capitol St. N.E.
Salem, OR 97301

Phone

(503) 364-0512

Fax

(503) 588-7108

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyecare Center of Salem, LLC

  • Optometrist
  • Salem, OR
  • NPI 1972629293
  Medicare reassignment NPD
• Hallmark Opticians

  • Durable Medical Equipment & Medical Supplies
  • Portland, OR
  • NPI 1497926463
  NPD (past)
• Pacific University

  dba Pacific Psychology & Comprehensive Health Clinic

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1912377193
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1114934247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 CAPITOL ST. N.E.",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-364-0512",
            "fax_number": "503-588-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 CAPITOL ST. N.E.",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-364-0512",
            "fax_number": "503-588-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTZ",
        "first_name": "GREGORY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1545ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228429",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Francis Kaufman, D.D.S.
• Rachel Valerie Kaufman
• Sherry Kaup, LMT #20244
• Harveer Kaur
• Jaswinder Kaur, MD
• Alicia B Kavka, MD
• Nicole Kaye
• Kaylee Read LMT
• Jeremy Richard Kazemier, LPC
• Abdul Hai Kazemy, M.D.

• Optometrist in Salem, OR
• Providers in Salem, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.