Active NPI
Gregory Michael Falk, O.D.
- Optometrist
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2856
- Practice address
- 10240 Hudson Rd
Wal-Mart Vision Center
Woodbury, MN 55129-9111 - Phone
- (651) 735-5196
- Fax
- (651) 735-5198
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 1, 2020
- 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 | 2856 | MN | Primary |
Addresses
Primary practice location
10240 Hudson Rd
Wal-Mart Vision Center
Woodbury, MN 55129-9111
Mailing address
1593 Headwaters LN
Woodbury, MN 55129-6233
Phone (651) 337-0374
Other practice location 1
5815 Norell Ave N
Oak Park Heights, MN 55082-1766
Phone (651) 351-3976
Other practice location 2
1850 Buerkle Rd
White Bear Lake, MN 55110-5245
Phone (651) 779-9346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10240 Hudson Rd
Woodbury, MN 55129-9111
Phone (651) 735-5196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falk Optometric Group, Inc | Optometrist | Current | Accepting new patients |
| Falk Optometric Group, Inc. | Optometrist | Past | Accepting new patients |
Locations
5815 Norell Ave N
Stillwater, MN 55082
Phone (651) 351-3976
1850 Buerkle Rd
White Bear Lake, MN 55110
Phone (651) 779-6710
10240 Hudson Rd
Woodbury, MN 55129
Phone (651) 735-5190
9925 Hudson Pl
Woodbury, MN 55125
Phone (651) 702-1231
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.
-
- Optometrist
- Woodbury, MN
- NPI 1730223868
-
- Optometrist
- Woodbury, MN
- NPI 1871727875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1124139886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 HEADWATERS LN",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551296233",
"telephone_number": "651-337-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 HUDSON RD",
"address_2": "WAL-MART VISION CENTER",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551299111",
"telephone_number": "651-735-5196",
"fax_number": "651-735-5198"
}
],
"practiceLocations": [
{
"address_1": "5815 Norell Ave N",
"address_purpose": "LOCATION",
"city": "Oak Park Heights",
"state": "MN",
"postal_code": "550821766",
"country_code": "US",
"telephone_number": "651-351-3976",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 Buerkle Rd",
"address_purpose": "LOCATION",
"city": "White Bear Lake",
"state": "MN",
"postal_code": "551105245",
"country_code": "US",
"telephone_number": "651-779-9346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALK",
"first_name": "GREGORY",
"middle_name": "MICHAEL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.