Dwight Gregory, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

6462 Issued in CA

Practice address

11940 Foothill Blvd Ste 107
Rancho Cucamonga, CA 91739-9375

Phone

(909) 944-1451

Fax

(909) 944-5174

NPI assigned

Jul 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children'S Eyewear Sight

  • Optician
  • Rancho Cucamonga, CA
  • NPI 1659044519
  NPD Authorized official

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1407144330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S OLIVE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054741",
            "telephone_number": "714-420-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 FOOTHILL BLVD STE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399375",
            "telephone_number": "909-944-1451",
            "fax_number": "909-944-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "6462",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "7602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Greene, RD
• Lyle Greenway
• Ramona Joy Greenway, R.N.
• Sierra Greer, MS, ATC
• Gregor Medical Corporation
• Gina Lee Gregory, LCSW
• Jennifer Nori Gretz
• Lucy Grey, NP
• Lori Nicole Greydanus
• Alex Grice

• Optician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.