Active NPI
Dana Rae Greiss, OD
- Optometrist
- Crofton, MD
National Provider Identifier
1184900078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2307
- Practice address
- 2225 Defense Hwy Ste C
Crofton, MD 21114-2468 - Phone
- (410) 721-2500
- Fax
- (410) 721-1308
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2307 | MD | Primary |
| Vision Therapy Optometrist | 152WV0400X | TA2307 | MD |
Addresses
Primary practice location
2225 Defense Hwy Ste C
Crofton, MD 21114-2468
Mailing address
2225 Defense Hwy Ste C
Crofton, MD 21114-2468
Phone (410) 721-2500
Other names 1
- Miss Dana Rae Webster
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2307 | MD | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliott J. Klonsky OD | 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
- Crofton, MD
- NPI 1902074875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1184900078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 DEFENSE HWY STE C",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142468",
"telephone_number": "410-721-2500",
"fax_number": "410-721-1308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 DEFENSE HWY STE C",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142468",
"telephone_number": "410-721-2500",
"fax_number": "410-721-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREISS",
"first_name": "DANA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2307",
"primary": true
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "MD",
"license": "TA2307",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "WEBSTER",
"middle_name": "RAE",
"prefix": "MISS",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.