Graytok Family Vision Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001356 Issued in PA

Legal business name

GRAYTOK FAMILY VISION CARE

Practice address

235 Humphrey Road
Greensburg, PA 15601-4579

Phone

(724) 834-8033

Fax

(724) 834-4290

NPI assigned

Oct 28, 2006

Last updated

Oct 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terese F Jupena

Title

Billing Coordinator

Phone

(724) 834-8033

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mark V Graytok Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Graytok, OD

  • Student in an Organized Health Care Education/Training Program
  • Greensburg, PA
  • NPI 1487384939
  Medicare reassignment Care Compare group
• Mark Vincent Graytok, OD

  • Optometrist
  • Greensburg, PA
  • NPI 1952373318
  Medicare reassignment Care Compare group
• Katelyn Orslene, O.D.

  • Optometrist
  • Greensburg, PA
  • NPI 1174973846
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1417033861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HUMPHREY ROAD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014579",
            "telephone_number": "724-834-8033",
            "fax_number": "724-834-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HUMPHREY ROAD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014579",
            "telephone_number": "724-834-8033",
            "fax_number": "724-834-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYTOK FAMILY VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "JUPENA",
        "authorized_official_first_name": "TERESE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "724-834-8033"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410012718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC, CORP; DME MAC JURISDICTION A",
            "identifier": "1119480002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark V Graytok",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mark V Graytok",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Chester David Graves, M.D.
• Danielle Rene Gray
• David E Gray, DO
• Holly Ann Gray, MS CCC SLP
• Jocelyn Gray, LSW
• Brian Graytok, OD
• Mark Vincent Graytok, OD
• Chad E Green
• Greene Health & Rehab Center, LLC
• Vijaya Greene, LPC

• Optometrist in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.