Jeffrey Woodson Gregg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11140T Issued in CA

Practice address

5500 Grossmont Center Dr Ste 210
La Mesa, CA 91942-3071

Phone

(619) 460-4393

Fax

(619) 460-4307

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1225160039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 CAMINO GLORITA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221801",
            "telephone_number": "619-459-6202",
            "fax_number": "619-460-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GROSSMONT CENTER DR STE 210",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423071",
            "telephone_number": "619-460-4393",
            "fax_number": "619-460-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "JEFFREY",
        "middle_name": "WOODSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11140T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Greenberg
• Felicia Greene
• Valinda Laverne Greene, PHD, MS,MA, RN
• Greg Giles, O.D., Inc.
• Charles Raymond Gregg, LMFT
• Kuljinder Singh Grewal, M.D.
• Sirena Angelica Griffin
• Amy Griswold, OTD OTR/L RYT CBIS
• Caitlin Nicole Grogan, DMD
• Jeanne K. Gromer, M.D.

• Optometrist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.