Alexander Gruber, OD
Individual provider Active NPI Optometrist · Rochester, NH
NPI 1366288508 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1366288508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1204 (NH)
- Practice address
- 65 Rochester Hill Rd
Rochester, NH 03867-3241 - Phone
- (978) 852-0405
- NPI assigned
- Jul 8, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- 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 PLLC
Bay Eye Center PC
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240807000149 | NH | Practitioner - Optometry | 7416494562 | Reassigns benefits to 1 organization |
| I20251124003530 | MA | Practitioner - Optometry | 7416494562 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1204 | NH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Eye Care Associates PLLC | Optometrist | Current |
Accepting new patients |
| Bay Eye Center PC | Optometrist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1204 | NH | Yes |
Addresses
Primary practice location
65 Rochester Hill Rd
Rochester, NH 03867-3241
Mailing address
65 Rochester Hill Rd
Rochester, NH 03867-3231
Other providers in Rochester, NH
- Greater Seacoast Community Health
- Ron Rob Greenberg
- Alise M Greenfield
- Kelsie Griffes
- Sally Grover
- Kali K Guilmet-Talbot
- Sarah Frances Guth
- Grace Hachey
- Martha Jean Haley
- Nicole Hall
All providers in Rochester, NH · Optometrist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.