Individual provider Active NPI

Alexander Gruber, OD

  • Optometrist
  • Rochester, NH
National Provider Identifier
1366288508
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1204 Issued in NH
Practice address
65 Rochester Hill Rd
Rochester, NH 03867-3241
Phone
(978) 852-0405
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1204 NH Primary

Addresses

Primary practice location

65 Rochester Hill Rd
Rochester, NH 03867-3241

Mailing address

65 Rochester Hill Rd
Rochester, NH 03867-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240807000149 NH Practitioner - Optometry 7416494562 Reassigns benefits to 1 organization
I20251124003530 MA Practitioner - Optometry 7416494562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Eye Care Associates PLLCGroup PAC ID 6901980291, 3 clinicians
Bay Eye Center PCGroup PAC ID 4587625595, 14 clinicians

Practice addresses (Care Compare)

65 Rochester Hill Rd
Rochester, NH 03867-3231
Phone (603) 332-8569

67 Obery St
Plymouth, MA 02360-2181
Phone (508) 339-7600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1204NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Eye Care Associates PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Bay Eye Center PC Optometrist CurrentSince Nov 17, 2025 Accepting new patients
Barnstable Eye PC Optometrist Past Accepting new patients

Locations

1 N Main St
Mansfield, MA 02048
Phone (508) 339-7600

284 N Main St
Ste A
Mansfield, MA 02048
Phone (508) 339-7600

67 Obery St
Plymouth, MA 02360
Phone (508) 339-7600

65 Rochester Hill Rd
Rochester, NH 03867
Phone (603) 330-0400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1366288508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ROCHESTER HILL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ROCHESTER HILL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673241",
            "telephone_number": "978-852-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "ALEXANDER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.