Individual provider Active NPI

Greg Wesley McGrew, O.D.

  • Optometrist
  • Leesburg, VA
National Provider Identifier
1386643344
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000421 Issued in VA
Practice address
12 Fairfax St SE
Leesburg, VA 20175-3616
Phone
(703) 777-1299
Fax
(703) 777-5645
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000421 VA Primary

Addresses

Primary practice location

12 Fairfax St SE
Leesburg, VA 20175-3616

Mailing address

12 Fairfax St SE
Leesburg, VA 20175-3616
Phone (703) 777-1299

Other identifiers 1

IdentifierTypeStateIssuer
009236597MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110111000349 VA Practitioner - Optometry 9739378472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam P Parker OD PCGroup PAC ID 5294739371, 4 clinicians

Practice addresses (Care Compare)

6013 Harbour Park Dr
Midlothian, VA 23112-2160
Phone (804) 595-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000421VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam P Parker OD PC Optometrist CurrentSince Dec 3, 2025 Accepting new patients
Eye Care Center of Leesburg Optometrist CurrentSince Oct 12, 2001 Accepting new patients

Locations

12 Fairfax St SE
Leesburg, VA 20175
Phone (703) 777-1299

900 Sycolin Rd SE
Ste 160
Leesburg, VA 20175
Phone (703) 777-1299

6013 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 595-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1386643344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FAIRFAX ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753616",
            "telephone_number": "703-777-1299",
            "fax_number": "703-777-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FAIRFAX ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753616",
            "telephone_number": "703-777-1299",
            "fax_number": "703-777-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREW",
        "first_name": "GREG",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009236597",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.