Individual provider Active NPI

Grace Salone, O.D.

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1356570907
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7524TG Issued in TX
Practice address
950 W University Ave Ste 108
Georgetown, TX 78626
Phone
(512) 240-5862
Fax
(866) 512-1070
NPI assigned
Jul 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 7524TG TX
Optometrist 152W00000X 7524TG TX Primary

Addresses

Primary practice location

950 W University Ave Ste 108
Georgetown, TX 78626

Mailing address

950 W University Ave Ste 108
Georgetown, TX 78626-6505
Phone (512) 240-5862

Other names 1

  • Grace Morano-Salone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120926000534 TX Practitioner - Optometry 6507903457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace M Salone OD PLLCGroup PAC ID 3173776598, 3 clinicians

Practice addresses (Care Compare)

950 W University Ave
Suite 108
Georgetown, TX 78626-6505
Phone (512) 240-5862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007440NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Patel Eye Care P a 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": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1356570907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W UNIVERSITY AVE STE 108",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266505",
            "telephone_number": "512-240-5862",
            "fax_number": "866-512-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W UNIVERSITY AVE STE 108",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-240-5862",
            "fax_number": "866-512-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALONE",
        "first_name": "GRACE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "7524TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7524TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "MORANO-SALONE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.