Organization Active NPI

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

  • Eyewear Supplier
  • Merrillville, IN
National Provider Identifier
1366575276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DAVID G. GROSS, D.O., P.C.
Practice address
6111 Harrison St
Suite 120
Merrillville, IN 46410-2969
Phone
(219) 980-6143
Fax
(219) 980-6146
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David G Gross
Title
Owner
Phone
(219) 769-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

6111 Harrison St
Suite 120
Merrillville, IN 46410-2969

Mailing address

303 W 89TH Ave
Suite E4
Merrillville, IN 46410-6294
Phone (219) 769-8989

Other names 1

  • Deen-Gross Eye Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366575276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE",
            "address_2": "SUITE E4",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106294",
            "telephone_number": "219-769-8989",
            "fax_number": "219-756-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST",
            "address_2": "SUITE 120",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102969",
            "telephone_number": "219-980-6143",
            "fax_number": "219-980-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. GROSS, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deen-Gross Eye Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.