Kenneth Allen Gregg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1133 Issued in NC

Practice address

1201 N Brightleaf Blvd
Smithfield, NC 27577-4229

Phone

(919) 934-8152

Fax

(919) 934-8154

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

University Alabama Birmingham - School of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgregg@direct.eyecare-partners.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.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment Care Compare group NPD
• Eyecarecenter OD PA

  • Optometrist
  • Smithfield, NC
  • NPI 1447203492
  NPD
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• C.V. Sikes,Jr. & R.B. Gotschalk PTR

  • Optometrist
  • Sanford, NC
  • NPI 1083768311
  NPD (past)
• Eyecarecenter OD PA

  • Optometrist
  • Wilson, NC
  • NPI 1376582239
  NPD (past)
• Eyecarecenter OD PA

  • Optometrist
  • Dobson, NC
  • NPI 1558800722
  NPD (past)
• Myeyedr Optometry of North Carolina PLLC

  • Optometrist
  • Greensboro, NC
  • NPI 1962460170
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1235192071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774229",
            "telephone_number": "919-934-8152",
            "fax_number": "919-934-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774229",
            "telephone_number": "919-934-8152",
            "fax_number": "919-934-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "KENNETH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "09345",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00777283",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909345",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varun Goswami, MD
• Merrie Beth Gough
• Ted Graham, PT
• Vanessa Bristow Graham, FNP, PMHNP
• Jerry R Gravitt, PHARM D
• Tammy Greiner, MS, CCC-SLP
• Chad Michael Gridley, M.D.
• Bessaliea Athalia Griffin
• Kena A Grimsley, PT
• James Gray Groce, MD

• Optometrist in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.
• 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.