Individual provider Active NPI

Brett Gramlich, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1144211590
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1049 Issued in AZ
Practice address
8575 E Princess Dr
#105
Scottsdale, AZ 85255-5483
Phone
(480) 585-0001
Fax
(480) 585-0760
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1049 AZ Primary

Addresses

Primary practice location

8575 E Princess Dr
#105
Scottsdale, AZ 85255-5483

Mailing address

8575 E Princess Dr
#105
Scottsdale, AZ 85255-5483
Phone (480) 585-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040519000297 AZ Practitioner - Optometry 0446241673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Eye Health PLLCGroup PAC ID 7012908247, 2 clinicians

Practice addresses (Care Compare)

8575 E Princess Dr
Suite 105
Scottsdale, AZ 85255-5437
Phone (480) 585-0001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1049AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Az Eye Health PLLC Optometrist CurrentSince Feb 24, 2004 Accepting new patients
Visionworks Inc Past Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients

Locations

8575 E Princess Dr
Ste 105
Scottsdale, AZ 85255
Phone (480) 585-0001

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, 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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144211590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 E PRINCESS DR",
            "address_2": "#105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555483",
            "telephone_number": "480-585-0001",
            "fax_number": "480-585-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 E PRINCESS DR",
            "address_2": "#105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555483",
            "telephone_number": "480-585-0001",
            "fax_number": "480-585-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMLICH",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.