Active NPI
Austin Gregory, O.D.
- Optometrist
- Evanston, IL
National Provider Identifier
1154746394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010837
- Practice address
- 522 Dempster St
Evanston, IL 60202-1303 - Phone
- (847) 864-5200
- Fax
- (847) 864-1231
- NPI assigned
- Feb 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 046010837 | IL | Primary |
Addresses
Primary practice location
522 Dempster St
Evanston, IL 60202-1303
Mailing address
2114 Union St Apt a
San Francisco, CA 94123-4004
Phone (805) 234-0528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Gregory | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- San Francisco, CA
- NPI 1861829749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1154746394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 UNION ST APT A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234004",
"telephone_number": "805-234-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 DEMPSTER ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021303",
"telephone_number": "847-864-5200",
"fax_number": "847-864-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "AUSTIN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-25",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "046010837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.