Individual provider Active NPI

Greta Pucci, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1184301657
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
RT009894-01 Issued in NY
Practice address
815 E Tremont Ave
Bronx, NY 10460-4171
Phone
(917) 891-8800
NPI assigned
Jun 28, 2023
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X RT009894-01 NY Primary

Addresses

Primary practice location

815 E Tremont Ave
Bronx, NY 10460-4171

Mailing address

815 E Tremont Ave
Bronx, NY 10460-4171
Phone (845) 596-2189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241210004346 NY Practitioner - Optometry 1658807979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RT009894-01NYMDOptometrist
009894NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Optometry Care PC Optometrist CurrentSince Oct 6, 2024 Accepting new patients
Eric C. Rubinfeld OD P.C. Optometrist PastSince Sep 1, 2024 Accepting new patients

Locations

385 E 149th St
Bronx, NY 10455
Phone (347) 385-2633

815 E Tremont Ave
Bronx, NY 10460
Phone (718) 513-3210

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.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1184301657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604171",
            "telephone_number": "845-596-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604171",
            "telephone_number": "917-891-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "GRETA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "RT009894-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.