Gregg Duistermars, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7368TG Issued in TX

Practice address

1201 Medical Plaza CT
Granbury, TX 76048-5684

Phone

(817) 279-9044

Fax

(817) 573-6234

NPI assigned

Jan 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Duistermars Optometric Corporation

  • Optometrist
  • San Luis Obispo, CA
  • NPI 1508054685
  NPD (past) Authorized official
• Nicole a. Mueller P.a.

  • Ophthalmology Physician
  • Granbury, TX
  • NPI 1861491037
  NPD (past)
• Texas Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hurst, TX
  • NPI 1750468583
  NPD (past)
• Drees Family & Sports Chiropractic, Inc

  • Chiropractor
  • Indianola, IA
  • NPI 1194878066
  NPD (past)
• Family Eye Care of Osceola PC

  • Optometrist
  • Osceola, IA
  • NPI 1982674578
  NPD (past)

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1376696427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MEDICAL PLAZA CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485684",
            "telephone_number": "817-279-9044",
            "fax_number": "817-573-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MEDICAL PLAZA CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485684",
            "telephone_number": "817-279-9044",
            "fax_number": "817-573-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUISTERMARS",
        "first_name": "GREGG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7368TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan E Dollar
• Melissa Dominguez
• Melissa Dorr, PT, DPT
• Karen Jane Dougherty, RN
• David Michael Dspain, D.O.
• Chelsie Malia Duke
• Matthew Dumican, CCC-SLP
• Kristen Duncan, RN IBCLC
• Brian Dunn, LCSW
• Marva Denise Durgin, NP

• Optometrist in Granbury, TX
• Providers in Granbury, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.