Individual provider Active NPI

Greg Allen Stipek, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1194737007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
820 Issued in AZ
Practice address
7420 E Pinnacle Peak Rd
Suite 122
Scottsdale, AZ 85255-3625
Phone
(480) 473-0079
Fax
(480) 473-3357
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 820 AZ Primary

Addresses

Primary practice location

7420 E Pinnacle Peak Rd
Suite 122
Scottsdale, AZ 85255-3625

Mailing address

7420 E Pinnacle Peak Rd
Suite 122
Scottsdale, AZ 85255-3625
Phone (480) 473-0079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051128000485 AZ Practitioner - Optometry 8729008495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Peak Eye Care and Optical PCGroup PAC ID 0042217937, 2 clinicians

Practice addresses (Care Compare)

7420 E Pinnacle Peak Rd
Suite 122
Scottsdale, AZ 85255-3625
Phone (480) 473-0079

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
820AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Peak Eye Care and Optical PC Optometrist CurrentSince Aug 4, 1997 Accepting new patients

Locations

7420 E Pinnacle Peak Rd
Ste 122
Scottsdale, AZ 85255
Phone (480) 473-0079

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194737007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 E PINNACLE PEAK RD",
            "address_2": "SUITE 122",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553625",
            "telephone_number": "480-473-0079",
            "fax_number": "480-473-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 E PINNACLE PEAK RD",
            "address_2": "SUITE 122",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553625",
            "telephone_number": "480-473-0079",
            "fax_number": "480-473-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPEK",
        "first_name": "GREG",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.