David G. Gross, D.O., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

50004042A Issued in IN

Legal business name

DAVID G. GROSS, D.O., P.C.

Doing business as

Deen-Gross Eye Centers

Practice address

1400 S Lake Park Ave
Suite 103
Hobart, IN 46342-6790

Phone

(219) 947-4410

Fax

(219) 942-7136

NPI assigned

Jun 4, 2010

Last updated

Jun 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David G GrossNPI 1346373313

Title

Owner

Phone

(219) 769-8989

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Deen-Gross Eye Centers Doing business as

Tax ID family

David G Gross DO PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• David G Gross DO, PC

  dba Deen-Gross Eye Centers

  • Optometrist
  • Merrillville, IN
  • NPI 1073646089
  NPD tax ID
• David G. Gross, D.O., P.C.

  dba Deen-Gross Eye Centers

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1205156965
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David G. Gross, D.O.

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1346373313
  NPD (past) Authorized official
• Jeffrey Lynn Nelson, MD

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1235459132
  NPD (past)

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1265752927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "SUITE 103",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426790",
            "telephone_number": "219-947-4410",
            "fax_number": "219-942-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "SUITE 103",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426790",
            "telephone_number": "219-947-4410",
            "fax_number": "219-942-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. GROSS, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-769-8989"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "50004042A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "50004042A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100169420",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000105018",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deen-Gross Eye Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hung Dang, DO
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• Jeanne Antoinette Degrazia, D.D.S.
• Joseph A Dejoan, M.D.

• Ophthalmology Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.