Ivanna Stepanivna Grynyk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009521 Issued in NY

Practice address

450 Margaret St
Plattsburgh, NY 12901-1755

Phone

(518) 566-2020

NPI assigned

May 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmology Associates of Staten Island PCGroup PAC ID 0749179075, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

69.52

Improvement activities

40

Cost

79.92

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivannagrynyk@oasi.direct.eyemdemr.com

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.

• Ophthalmology Associates of Staten Island PC

  • Specialist
  • Staten Island, NY
  • NPI 1114065281
  Medicare reassignment Care Compare group NPD
• Eye Care for the Adirondacks Associates in Ophthalmology PC

  • Ophthalmology Physician
  • Plattsburgh, NY
  • NPI 1518956515
  Medicare reassignment NPD
• Eye Care for the Adirondacks Associates in Ophthalmology, PC

  dba Eye Care for the Adirondacks

  • Eyewear Supplier
  • Plattsburgh, NY
  • NPI 1578777199
  NPD
• Opthalmology Assoc of Statien Island Dba Bridge Opticians

  dba Bridge Opticians

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
  • NPI 1164546610
  NPD

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1194391243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8458 PARTRIDGE WAY",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011755",
            "telephone_number": "518-566-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 6th St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129531246",
            "country_code": "US",
            "telephone_number": "518-483-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRYNYK",
        "first_name": "IVANNA",
        "middle_name": "STEPANIVNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07104158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Poore Grennan
• John P Griffin, MD
• Carlee Griggs, LPN
• Diego J Grinberg-Funes, M.D.
• Karen B Grunewald, APRN
• Zachary Terry Guay
• Alison Marie Guerin, CCC-SLP
• Alison J. Guile, MD
• Lauren Gundrum
• Dana Elise Gunn, NP

• Optometrist in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.