Individual provider Active NPI

John Karl Gregory, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1366525347
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001128 Issued in PA
Practice address
2275 Swallow Hill Rd
Building 700
Pittsburgh, PA 15220-1656
Phone
(412) 489-6726
Fax
(412) 489-6732
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001128 PA Primary

Addresses

Primary practice location

2275 Swallow Hill Rd
Building 700
Pittsburgh, PA 15220-1656

Mailing address

2275 Swallow Hill Rd
Building 700
Pittsburgh, PA 15220-1656
Phone (412) 489-6726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070928000414 PA Practitioner - Optometry 3072608504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2275 Swallow Hill Rd
Building 700
Pittsburgh, PA 15220-1656
Phone (412) 489-6726

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Audiology & Hearing Aid Center Inc CurrentSince Feb 1, 2014 Accepting new patients
Bourse Optical Boutique, Inc. Optometrist CurrentSince Sep 1, 2001 Accepting new patients

Locations

100 Fleet St
Pittsburgh, PA 15220
Phone (412) 875-6218

2275 Swallow Hill Rd
Ste 700
Pittsburgh, PA 15220
Phone (412) 279-2181

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1366525347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD",
            "address_2": "BUILDING 700",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-489-6726",
            "fax_number": "412-489-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD",
            "address_2": "BUILDING 700",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-489-6726",
            "fax_number": "412-489-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JOHN",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.