Gregory P. Jellenek, OD & Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GREGORY P. JELLENEK, OD & ASSOCIATES, PC

Practice address

12401 Jefferson Ave Ste 1
Newport News, VA 23602-4311

Phone

(757) 877-0388

Fax

(757) 833-7229

NPI assigned

Jul 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory P. Jellenek, O.D.NPI 1679505226

Title

President

Phone

(757) 963-1863

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Paul Jellenek, O.D.

  • Optometrist
  • Fort Eustis, VA
  • NPI 1679505226
  Medicare reassignment Authorized official
• Michael Henry Osterhoudt, O.D.

  • Optometrist
  • Beale AFB, CA
  • NPI 1821017351

  VA

  Medicare reassignment NPD
• Inderpreet Kaur Datta, O.D.

  • Optometrist
  • Chester, VA
  • NPI 1164735338
  NPD (past)
• Veronica Butrese Fowler, O.D.

  • Optometrist
  • Suffolk, VA
  • NPI 1982681797
  NPD (past)
• Lois Hendrix, O.D.

  • Optometrist
  • Suffolk, VA
  • NPI 1184951584
  NPD (past)
• Bi Yu Li, O.D.

  • Optometrist
  • Chesapeake, VA
  • NPI 1316024979
  NPD (past)
• Adam Paul Parker, O.D.

  • Optometrist
  • Midlothian, VA
  • NPI 1477510980
  NPD (past)
• John Durst Seago, OD

  • Optometrist
  • Chesapeake, VA
  • NPI 1427155811
  NPD (past)
• Simon T Tran, O.D.

  • Optometrist
  • Newport News, VA
  • NPI 1932395761
  NPD (past)
• Heather Guydo Weaver, O.D

  • Optometrist
  • North Chesterfield, VA
  • NPI 1497042311
  NPD (past)
• Andrea Rene Evans, O.D.

  • Optometrist
  • Baltimore, MD
  • NPI 1467683714
  NPD (past)
• Diep Nguyen, O.D.

  • Optometrist
  • National City, CA
  • NPI 1477866788
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144259250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9439",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233219439",
            "telephone_number": "757-963-1863",
            "fax_number": "757-465-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 JEFFERSON AVE STE 1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024311",
            "telephone_number": "757-877-0388",
            "fax_number": "757-833-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P. JELLENEK, OD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JELLENEK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-963-1863",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenbrook TMS Newport News LLC
• Garland Vestal Greene III, MD
• Tydus De'Aundra Greene
• Kimberly Greenwell, DMD
• Lisa Marie Greer, FNP-BC
• John S. Gremer, MD
• Tanya Grene, FNP
• Lachunte' Gresham
• Constance None Griffin
• Jacqueline L Griffin, FNP-C

• Optometrist in Newport News, VA
• Providers in Newport News, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.