Individual provider Active NPI

Gregory Greer, O.D.

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1184626301
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WA3834TX Issued in WA
Practice address
4502 S Steele St
Suite 304-B
Tacoma, WA 98409-7242
Phone
(253) 472-6465
Fax
(253) 473-4278
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WA3834TX WA Primary

Addresses

Primary practice location

4502 S Steele St
Suite 304-B
Tacoma, WA 98409-7242

Mailing address

8520 Steilacoom Blvd SW
Ste 101
Lakewood, WA 98498-4773
Phone (253) 475-3937

Other identifiers 1

IdentifierTypeStateIssuer
2029429MedicaidWA

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

State licenses

LicenseStateTypeSpecialty
WA3834TXWAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1184626301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 STEILACOOM BLVD SW",
            "address_2": "STE 101",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984984773",
            "telephone_number": "253-475-3937",
            "fax_number": "855-664-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 S STEELE ST",
            "address_2": "SUITE 304-B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097242",
            "telephone_number": "253-472-6465",
            "fax_number": "253-473-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA3834TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029429",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.