Individual provider Active NPI

Gregory F Zink, O.D.

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1144232794
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002715A Issued in IN
Practice address
321 E Wayne St
Fort Wayne, IN 46802-2713
Phone
(260) 424-5656
Fax
(260) 424-4511
NPI assigned
Aug 12, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 18002715A IN Primary

Addresses

Primary practice location

321 E Wayne St
Fort Wayne, IN 46802-2713

Mailing address

12509 Carroll Ridge Dr
Fort Wayne, IN 46818-8798

Other identifiers 3

IdentifierTypeStateIssuer
200061280AMedicaidIN
2904870MedicaidOH
000000083764OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20071017000309 IN Practitioner - Optometry 1153417563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grossnickle Eye Center IncGroup PAC ID 7810897758, 12 clinicians

Practice addresses (Care Compare)

2251 Dubois Dr
Warsaw, IN 46580-3212
Phone (574) 269-2777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.94 of 100Reported as group
Quality
91.45
Improvement activities
40
Cost
77.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grossnickle Eye Center, Inc. Current Accepting new patients
Grossnickle Eye Center, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Grossnickle Eye Center, Inc. CurrentSince Sep 6, 2022 Accepting new patients

Locations

1510 Osolo Rd
Elkhart, IN 46514
Phone (574) 266-6100

4330 Edison Lakes Pkwy
Ste A
Mishawaka, IN 46545
Phone (574) 269-2777

2855 Miller Dr
Ste 121
Plymouth, IN 46563
Phone (574) 647-1600

2251 Dubois Dr
Warsaw, IN 46580
Phone (574) 269-2777

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/mi-gecenter

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1144232794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 CARROLL RIDGE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022713",
            "telephone_number": "260-424-5656",
            "fax_number": "260-424-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "GREGORY",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002715A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061280A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2904870",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000083764",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.