Individual provider Active NPI

Gregory V Ferrell, O.D.

  • Optometrist
  • Marion, OH
National Provider Identifier
1255770772
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6196 Issued in OH
Practice address
399 E Church St
Marion, OH 43302-4143
Phone
(740) 387-8414
Fax
(740) 382-9434
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6196 OH Primary

Addresses

Primary practice location

399 E Church St
Marion, OH 43302-4143

Mailing address

399 E Church St
Marion, OH 43302-4143
Phone (740) 387-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130730000963 OH Practitioner - Optometry 3476794637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Optometry Group, LLCGroup PAC ID 6901806306, 5 clinicians

Practice addresses (Care Compare)

399 E Church St
Marion, OH 43302-4137
Phone (740) 387-8414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6196OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Optometry Group, LLC Optometrist CurrentSince Jun 18, 2013 Accepting new patients

Locations

905 S Poplar St
Bucyrus, OH 44820
Phone (419) 562-3822

399 E Church St
Ste 101
Marion, OH 43302
Phone (740) 387-8414

399 E Church St
Marion, OH 43302
Phone (740) 387-8414

Interoperability endpoints

  • Direct secure messaging: gregory.ferrell@direct.revolutionehr.com

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1255770772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E CHURCH ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024143",
            "telephone_number": "740-387-8414",
            "fax_number": "740-382-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E CHURCH ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024143",
            "telephone_number": "740-387-8414",
            "fax_number": "740-382-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "GREGORY",
        "middle_name": "V",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.