Individual provider Active NPI

Stephen J Grygier, O.D.

  • Optometrist
  • Marion, OH
National Provider Identifier
1215032792
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3517 P509 Issued in OH
Practice address
367 S Main St
Marion, OH 43302-5005
Phone
(740) 382-2020
Fax
(740) 382-1941
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3517 P509 OH Primary

Addresses

Primary practice location

367 S Main St
Marion, OH 43302-5005

Mailing address

367 S Main St
Marion, OH 43302-5005
Phone (740) 382-2020

Other identifiers 3

IdentifierTypeStateIssuer
311015138026MedicaidOH
0463841MedicaidOH
4380060001OtherOHSUPPLIER ID #-DMEPOS

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
3517OHMDRegistered Dietitian
3517 P509OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Opticians, LLC Optometrist PastSince Aug 23, 2006 Accepting new patients
Stephen J Grygier O.D. Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1215032792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025005",
            "telephone_number": "740-382-2020",
            "fax_number": "740-382-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 S MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025005",
            "telephone_number": "740-382-2020",
            "fax_number": "740-382-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYGIER",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3517 P509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311015138026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463841",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER ID #-DMEPOS",
            "identifier": "4380060001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.